JOSHUA GRANT JACKSON APRN FNP-C
NPI 1164316857
Nurse Practitioner - Family in Las Vegas, NV
About Joshua Grant Jackson Aprn Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSHUA GRANT JACKSON APRN FNP-C (NPI 1164316857) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (878949) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Joshua Grant Jackson Aprn Fnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Rose Dominican Hospitals - Siena Campus
Acute Care Hospitals · Henderson, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Joshua Jackson's NPI number?
The NPI number for Joshua Jackson is 1164316857. It was assigned to this individual provider in the NPPES registry on June 6, 2025.
Where is Joshua Jackson located?
Joshua Jackson practices at 5510 S Fort Apache Rd Ste 103, Las Vegas, NV 89148. The listed phone number is (702) 899-0100.
What is Joshua Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Joshua Jackson enrolled in Medicare?
Yes. Joshua Jackson 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.
Is Joshua Jackson affiliated with any hospitals?
According to CMS data, Joshua Jackson is affiliated with Saint Rose Dominican Hospitals - Siena Campus.
When was this NPI record last updated?
The NPPES record for Joshua Jackson was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Joshua Grant Jackson, APRN FNP-C · NPI 1164316857
Family physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 6, 2025.
## Identity
- **NPI:** 1164316857 (Entity type: Individual)
- **Enumerated:** June 6, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 878949 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 5510 S FORT APACHE RD STE 103, Las Vegas, NV 89148-7700
- **Phone:** (702) 899-0100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2025
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164316857) · Data from the CMS NPPES public registry.