ROSE WELLNESS LV LLC
NPI 1194441857
Nurse Practitioner - Primary Care in Las Vegas, NV

Active since October 14, 2022
8550 W CHARLESTON BLVD STE 108, LAS VEGAS, NV 89117(725) 210-4900 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2022, Oct 14, 2022 (2 updates tracked since 2022).

About Rose Wellness Lv Llc NPPES

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

ROSE WELLNESS LV LLC (NPI 1194441857) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since October 2022. The organization lists Rose Jusayan, Owner, as its authorized official.

NPPES Registry Identity

NPI1194441857
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameROSE WELLNESS LV LLC
Location Address8550 W CHARLESTON BLVD STE 108Las Vegas, NV 89117-9080
Mailing Address8550 W Charleston Blvd Ste 108Las Vegas, NV 89117-9080 · (725) 210-4900
Organization SubpartNo
Authorized OfficialRose JusayanOwner · (702) 355-3900
Enumeration DateOctober 14, 2022
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1194441857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
8550 W CHARLESTON BLVD STE 108, Las Vegas, NV 89117

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Wellness Lv Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose Wellness Lv LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144657149
7251 W LAKE MEAD BLVD STE 300
Las Vegas, NV 89128
(702) 629-6992
✔ PECOS2.9 mi

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

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 Rose Wellness Lv LLC's NPI number?

The NPI number for Rose Wellness Lv LLC is 1194441857. It was assigned to this organization in the NPPES registry on October 14, 2022.

Where is Rose Wellness Lv LLC located?

Rose Wellness Lv LLC is located at 8550 W Charleston Blvd Ste 108, Las Vegas, NV 89117. The listed phone number is (725) 210-4900.

What is Rose Wellness Lv LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Rose Wellness Lv LLC enrolled in Medicare?

Yes. Rose Wellness Lv LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Wellness Lv LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rose Wellness Lv LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rose Wellness Lv LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.