JOHANESS BLAINE REYES
NPI 1083434690
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Johaness Blaine Reyes's NPI number?

The NPI number for Johaness Blaine Reyes is 1083434690. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Q: What is Johaness Blaine Reyes's specialty?

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

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment

2625 S RAINBOW BLVD STE C102, LAS VEGAS, NV 89146(702) 600-3721 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johaness Blaine Reyes NPPES

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

JOHANESS BLAINE REYES (NPI 1083434690) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (833755) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083434690

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJOHANESS BLAINE REYES

Location Address2625 S RAINBOW BLVD STE C102Las Vegas, NV 89146-5181

Mailing Address2625 S Rainbow Blvd Ste C102Las Vegas, NV 89146-5181

Phone(702) 600-3721

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 16, 2024

NPPES CertifiedOctober 16, 2024

✔ NPI 1083434690 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

License✔ Licensed in NV · 833755

2625 S RAINBOW BLVD STE C102, Las Vegas, NV 89146

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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

Johaness Blaine Reyes 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 ID1254864598

PECOS Enrollment IDI20241025000724

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 89146 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 6

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

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