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ANDREW DAVID JAYNE DO
NPI 1104766054
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 31, 2026PECOS Enrolled
MOUNTAINVIEW HOSPITAL GME, 2880 N TENAYA WAY, 2ND FLOOR, LAS VEGAS, NV 89128(702) 769-5937 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew David Jayne Do NPPES

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

ANDREW DAVID JAYNE DO (NPI 1104766054) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104766054
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW DAVID JAYNECredential: DO
Location AddressMOUNTAINVIEW HOSPITAL GME, 2880 N TENAYA WAY, 2ND FLOORLas Vegas, NV 89128
Mailing AddressMountainview Hospital Gme, 2880 N Tenaya Way, 2nd FloorLas Vegas, NV 89128
Phone(702) 769-5937
Sole ProprietorYes
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1104766054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MOUNTAINVIEW HOSPITAL GME, 2880 N TENAYA WAY, 2ND FLOOR, Las Vegas, NV 89128
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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 (PECOS)

Andrew David Jayne Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Andrew Jayne's NPI number?

The NPI number for Andrew Jayne is 1104766054. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Andrew Jayne located?

Andrew Jayne practices at Mountainview Hospital Gme, 2880 N Tenaya Way, 2nd Floor, Las Vegas, NV 89128. The listed phone number is (702) 769-5937.

What is Andrew Jayne's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Jayne enrolled in Medicare?

Yes. Andrew Jayne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Jayne was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.