Active NPI
Jay Michael Marcos
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1932050044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 896143
- Practice address
- 6564 Polonius CT
Las Vegas, NV 89141-8591 - Phone
- (310) 748-3050
- Fax
- (310) 748-3050
- NPI assigned
- Feb 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 896143 | NV | Primary |
Addresses
Primary practice location
6564 Polonius CT
Las Vegas, NV 89141-8591
Mailing address
6564 Polonius CT
Las Vegas, NV 89141-8591
Phone (310) 748-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896143 | NV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1932050044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6564 POLONIUS CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891418591",
"telephone_number": "310-748-3050",
"fax_number": "310-748-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6564 POLONIUS CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891418591",
"telephone_number": "310-748-3050",
"fax_number": "310-748-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOS",
"first_name": "JAY MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "896143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.