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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jann Pickens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shadow Emergency Physicians PLLC
0.1 mi
Emergency Medicine
620 SHADOW LN
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 161 clinicians in this Medicare group
NPI 1184795874 (702) 388-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. KAY E MCMILLAN DO
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4500
DR. FELIX ALEXIE DO
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
ALEX HIRSCHFELD GOLDBACH MD
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 477-6572
NASIBO KADIR MD PLLC
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. JOHN YOUNG KO DO
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
MIRKO OMID MOSTAGHIMI DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. CHRISTINA MARIE JOYA DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jann Pickens located?

Jann Pickens practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-4506.

What is Jann Pickens's specialty?

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

Is Jann Pickens enrolled in Medicare?

Yes. Jann Pickens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jann Pickens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jann Pickens reassigns Medicare benefits to Shadow Emergency Physicians PLLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jann Pickens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.