Individual provider Active NPI

Jace Julian Jaramillo, PMHNP-FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1942907456
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
810852 Issued in NV
Practice address
1811 S Rainbow Blvd Ste 208
Las Vegas, NV 89146-0042
Phone
(702) 748-9726
Fax
(702) 608-8528
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 810852 NV Primary
Family Nurse Practitioner 363LF0000X 810852 NV

Addresses

Primary practice location

1811 S Rainbow Blvd Ste 208
Las Vegas, NV 89146-0042

Mailing address

631 Holly Bush CT
Henderson, NV 89015-6903
Phone (702) 862-9238

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
I20250123003168 NV Practitioner - Nurse Practitioner 0749719573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindshift Psychiatry PLLCGroup PAC ID 1951710045, 2 clinicians

Practice addresses (Care Compare)

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindshift Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 10, 2025 Accepting new patients
Holding Hands LLC Psychiatric/Mental Health CurrentSince Jan 20, 2025 Accepting new patients
Upbeat Health PLLC CurrentSince Mar 11, 2026 Accepting new patients

Locations

1811 S Rainbow Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 748-9726

10161 Park Run Dr
Ste 150
Las Vegas, NV 89145
Phone (408) 833-3158

2255 Renaissance Dr
Ste C
Las Vegas, NV 89119
Phone (702) 434-5114

Interoperability endpoints

  • Direct secure messaging: jace.jaramillo@747060700643332.direct.elationemr.com
  • Direct secure messaging: jace.jaramillo.1@15442.direct.athenahealth.com

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1942907456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 HOLLY BUSH CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156903",
            "telephone_number": "702-862-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S RAINBOW BLVD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460042",
            "telephone_number": "702-748-9726",
            "fax_number": "702-608-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "JACE",
        "middle_name": "JULIAN",
        "credential": "PMHNP-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "810852",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "810852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.