MR. JOHN MARREN PA
NPI 1205868007
Physician Assistant - Medical in Nellis Afb, NV

Active since July 06, 2006Opted out of Medicare · through Apr 1, 2027
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2518 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Marren Pa NPPES

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

MR. JOHN MARREN PA (NPI 1205868007) is an individual medical provider in Nellis Afb, Nevada, licensed in Nevada (PA1354) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205868007
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHN MARRENCredential: PA
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2518
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
NPI 1205868007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NV · PA1354
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. John Marren Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Obstetrics & Gynecology
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191

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 Marren's NPI number?

The NPI number for John Marren is 1205868007. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is John Marren located?

John Marren practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2518.

What is John Marren's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Marren enrolled in Medicare?

No. John Marren has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Marren was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.