Individual provider Active NPI

Jacqueline Alyssa Arellano, MPH, MPAS, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1982358602
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0553 Issued in NV
Practice address
7424 S Rainbow Blvd
Las Vegas, NV 89139-6309
Phone
(702) 994-0353
NPI assigned
Feb 10, 2022
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA0553 NV Primary

Addresses

Primary practice location

7424 S Rainbow Blvd
Las Vegas, NV 89139-6309

Mailing address

1050 Wellness PL Apt 1835
Henderson, NV 89011-2349
Phone (915) 526-2376

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
I20220602003039 NV Practitioner - Physician Assistant 5395123376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

10530 Southern Highlands Pkwy
Suite 150
Las Vegas, NV 89141-4389
Phone (725) 777-3350

10652 S Eastern Ave
Henderson, NV 89052-4952
Phone (702) 476-2800

2202 W Craig Rd
North Las Vegas, NV 89032-3018
Phone (702) 826-3200

2269 N Green Valley Pkwy
Henderson, NV 89014-5025
Phone (702) 855-0500

3020 W Ann Rd
North Las Vegas, NV 89031-7259
Phone (702) 701-9501

4575 W Charleston Blvd
Suite a
Las Vegas, NV 89102-1501
Phone (702) 877-8777

5570 Camino Al Norte
Suite 1
North Las Vegas, NV 89031-0809
Phone (702) 657-0756

585 College Dr
Suite C
Henderson, NV 89015-1542
Phone (725) 777-3200

5891 E Charleston Blvd
Suite 150
Las Vegas, NV 89142-1053
Phone (725) 777-3119

6440 Centennial Ctr Blvd
Suite 110
Las Vegas, NV 89149-4797
Phone (702) 901-8320

7424 S Rainbow Blvd
Suite a
Las Vegas, NV 89139-6309
Phone (702) 464-3213

8300 W Cheyenne Ave
Suite 106
Las Vegas, NV 89129-2177
Phone (702) 656-0911

9785 S Maryland Pkwy
Suite A2
Las Vegas, NV 89183-7125
Phone (702) 747-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Physician Assistant CurrentSince Aug 1, 2023 Accepting new patients

Locations

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1982358602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WELLNESS PL APT 1835",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112349",
            "telephone_number": "915-526-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396309",
            "telephone_number": "702-994-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "JACQUELINE",
        "middle_name": "ALYSSA",
        "credential": "MPH, MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.