Individual provider Active NPI

Bonnie Kwan

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1891294732
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
812100 Issued in NV
Practice address
8205 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3646
Phone
(702) 616-5801
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Nurse Practitioner 363L00000X 812100 NV Primary

Addresses

Primary practice location

8205 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3646

Mailing address

7997 Mosaic Harbor Ave
Las Vegas, NV 89117-2575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190411001307 NV Practitioner - Nurse Practitioner 5193066546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

2650 N Tenaya Way
Suite 208
Las Vegas, NV 89128-1104
Phone (702) 360-2100

630 S Rancho Dr
Suite E
Las Vegas, NV 89106-4849
Phone (702) 258-1001

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Current Accepting new patients
J Robert West, M.D., Inc CurrentSince May 19, 2020 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

4281 Katella Ave
Ste 220
Los Alamitos, CA 90720
Phone (562) 252-0173

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

653 N Town Center Dr
Ste 214
Las Vegas, NV 89144
Phone (702) 248-8989

2650 N Tenaya Way
Ste 208
Las Vegas, NV 89128
Phone (702) 360-2100

8205 W Warm Springs Rd
Ste 190
Las Vegas, NV 89113
Phone (702) 588-6730

8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900

630 S Rancho Dr
Ste E
Las Vegas, NV 89106
Phone (702) 258-1001

3010 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 933-0225

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1891294732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7997 MOSAIC HARBOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 W WARM SPRINGS RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133646",
            "telephone_number": "702-616-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "812100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.