Active NPI
Jon Penn Junejo, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 886891
- Practice address
- 1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308 - Phone
- (725) 900-4866
- Fax
- (702) 560-3101
- NPI assigned
- Jul 15, 2024
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP.AP.61581110-NP | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 886891 | NV | Primary |
Addresses
Primary practice location
1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Mailing address
1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (725) 900-4866
Other practice location 1
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-2000
Other practice location 2
1710 Allen St
Kelso, WA 98626-4907
Phone (360) 261-7020
Other practice location 3
7803 NE 4th Plain Rd
Vancouver, WA 98662-7294
Phone (360) 566-4432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5700 E Hwy 90
FL 4
Sierra Vista, AZ 85635-9110
Phone (520) 417-3835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61581110 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Vista Regional Health Center Medical Group LLC | Current | Accepting new patients | |
| RCHP-Sierra Vista Inc | Past | Accepting new patients |
Locations
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500
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.
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
-
dba Canyon Vista Medical Center Psych Unit
- Psychiatric Hospital Unit
- Sierra Vista, AZ
- NPI 1275930851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1982442075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 N TOWN CENTER DR STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446308",
"telephone_number": "725-900-4866",
"fax_number": "702-560-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N TOWN CENTER DR STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446308",
"telephone_number": "725-900-4866",
"fax_number": "702-560-3101"
}
],
"practiceLocations": [
{
"address_1": "5700 E Highway 90",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856359110",
"country_code": "US",
"telephone_number": "520-263-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1710 Allen St",
"address_purpose": "LOCATION",
"city": "Kelso",
"state": "WA",
"postal_code": "986264907",
"country_code": "US",
"telephone_number": "360-261-7020",
"fax_number": "360-261-7030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7803 NE 4th Plain Rd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986627294",
"country_code": "US",
"telephone_number": "360-566-4432",
"fax_number": "360-695-0628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNEJO",
"first_name": "JON",
"middle_name": "PENN",
"name_prefix": "Dr.",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "ARNP.AP.61581110-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "886891",
"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 Sep 29, 2026; 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.