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MR. JOHN R PHOENIX APRN
NPI 1013289024
Nurse Practitioner - Family in Las Vegas, NV

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
1909 COCHRAN ST, LAS VEGAS, NV 89104(702) 278-9684(702) 330-4499 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 31, 2025, May 6, 2025, Aug 3, 2024 and 2 more (5 updates tracked since 2017).

About Mr. John R Phoenix Aprn NPPES

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

MR. JOHN R PHOENIX APRN (NPI 1013289024) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN001359) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1013289024
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN R PHOENIXCredential: APRN
Location Address1909 COCHRAN STLas Vegas, NV 89104-3538
Mailing Address1909 Cochran StLas Vegas, NV 89104-3538 · (702) 278-9684 · Fax (702) 330-4499
Phone(702) 278-9684
Fax(702) 330-4499
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 7, 2012
Last NPPES UpdateMay 31, 20255 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1013289024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NV · APRN001359✔ Licensed in NV · APN001359
1909 COCHRAN ST, Las Vegas, NV 89104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Mr. John R Phoenix Aprn 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 ID4880856608
PECOS Enrollment IDI20120424000274
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89104 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier12 claims24 services$6.59 avg. paid by Medicare
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds K0816
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$109.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Phoenix's NPI number?

The NPI number for John Phoenix is 1013289024. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is John Phoenix located?

John Phoenix practices at 1909 Cochran St, Las Vegas, NV 89104. The listed phone number is (702) 278-9684.

What is John Phoenix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Phoenix enrolled in Medicare?

Yes. John Phoenix 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.

What insurance does John Phoenix accept?

Health plans from Ambetter from Arizona Complete Health list John Phoenix as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Phoenix was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.