Jennifer D Roux, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

852902 Issued in NV

Practice address

9975 S Eastern Ave Ste 110
Las Vegas, NV 89183-7950

Phone

(702) 659-5604

Fax

(702) 660-6186

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Merit-based Incentive Payment System (MIPS)

Final score

21.72 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.39

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Craig M Jorgenson MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1831261460
  Medicare reassignment NPD
• Platinum Wound Care Specialist

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1174208763
  Medicare reassignment NPD
• Katrina Di Pasqua DPM Inc

  • Podiatrist
  • Napa, CA
  • NPI 1710930789
  NPD (past)
• Rhodium Medical of Arizona LLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1952108342
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1972129203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 DAKS LODEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890448767",
            "telephone_number": "603-448-1941",
            "fax_number": "603-448-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837950",
            "telephone_number": "702-659-5604",
            "fax_number": "702-660-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUX",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075769-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "852902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Rousek
• Cari Rouselle
• Jackson Roussel
• Donavan Roussell
• Emily Routh
• Robin Roveri, OPTICIAN
• John Rovig
• Teresa Rovira
• Adam J Rovit, M.D.
• Sergey Rovnov

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.