Hassan Ali Boumelhem, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

819638 Issued in NV

Practice address

6655 W Sahara Ave Ste D104
Las Vegas, NV 89146-0846

Phone

(725) 205-2457

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aion Medical Group LLCGroup PAC ID 7214440346, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adam.boumelhem@408071344619524.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aion Medical Group LLC

  • Wound Care Registered Nurse
  • Las Vegas, NV
  • NPI 1962207399
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1851120653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 ANGEL FALLS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890744243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE D104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460846",
            "telephone_number": "725-205-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMELHEM",
        "first_name": "HASSAN",
        "middle_name": "ALI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "819638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crowless Boules
• Magdelin Boules
• Wayne Edward Boulton, PA-C
• Marcelina Boulware
• Fadel Boumelhem
• Hussayn Boumelhem, FNP
• Brian Michael Bounds, APRN
• Nikkoal Bounds
• Songkeo Bounshedone
• Visouda Bounyavong

• Adult Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.