JANN STACEY PICKENS NP
NPI 1003250143
Nurse Practitioner in Las Vegas, NV

Q: What is Jann Pickens's NPI number?

The NPI number for Jann Pickens is 1003250143. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Q: What is Jann Pickens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jann Pickens was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment

620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4506(702) 388-4810 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jann Stacey Pickens Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANN STACEY PICKENS NP (NPI 1003250143) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (APRN001525) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003250143

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJANN STACEY PICKENSCredential: NP

Location Address620 SHADOW LNLas Vegas, NV 89106-4119

Mailing AddressPo Box 13917Philadelphia, PA 19101-3917 · (800) 355-0808 · Fax (610) 834-2862

Phone(702) 388-4506

Fax(702) 388-4810

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 19, 2013

Last NPPES UpdateAugust 12, 2020

NPPES CertifiedAugust 12, 2020

✔ NPI 1003250143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NV · APRN001525✔ Licensed in NV · APN001525

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

620 SHADOW LN, Las Vegas, NV 89106

Open in Google Maps ↗

Secondary Practice Location 1

Location 13841 W Charleston Blvd Ste 203Las Vegas, NV 89102-1858 · Phone (702) 848-4443 · Fax (702) 805-0299

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jann Stacey Pickens Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072752898

PECOS Enrollment IDI20130626000601

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR HOANG D.O.

Orthopaedic Surgery