Individual provider Active NPI

Jason Hume, ACNPC-AG

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1912413956
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN002772 Issued in NV
Practice address
8205 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3646
Phone
(702) 534-5464
Fax
(702) 534-5465
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN002772 NV
Gerontology Nurse Practitioner 363LG0600X APRN002772 NV Primary

Addresses

Primary practice location

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

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

Other practice location 2

6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Phone (702) 476-4900

Other identifiers 1

IdentifierTypeStateIssuer
APRN002772OtherNVAPRN LICENSE NSBN

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
I20180305002118 NV Practitioner - Nurse Practitioner 7012278237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

8205 W Warm Springs Rd
Suite 210
Las Vegas, NV 89113-3646
Phone (702) 534-5464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN002772NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eid Nevada Critical Care PLLC CurrentSince Feb 8, 2018 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Sep 5, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#1270
Pasadena, CA 91199

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

8205 W Warm Springs Rd
Ste 210
Las Vegas, NV 89113
Phone (702) 534-5464

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: jasonhume@hcpnv.allscriptsdirect.net

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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1912413956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "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": "702-534-5464",
            "fax_number": "702-534-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092317",
            "country_code": "US",
            "telephone_number": "702-731-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485613",
            "country_code": "US",
            "telephone_number": "702-476-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUME",
        "first_name": "JASON",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "APRN002772",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN002772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NSBN",
            "identifier": "APRN002772",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.