MEDINA TAN FNP-BC
NPI 1295534782
Nurse Practitioner - Family in Las Vegas, NV

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment
3753 HOWARD HUGHES PKWY STE 200, LAS VEGAS, NV 89169(502) 320-0023(949) 281-5550 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Jun 11, 2025, Mar 10, 2025 (3 updates tracked since 2025).

About Medina Tan Fnp-bc NPPES

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

MEDINA TAN FNP-BC (NPI 1295534782) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (848581) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295534782
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEDINA TANCredential: FNP-BC
Location Address3753 HOWARD HUGHES PKWY STE 200Las Vegas, NV 89169-0952
Mailing Address6655 W Sahara Ave Ste A218Las Vegas, NV 89146-0847 · (725) 205-2457
Fax(949) 281-5550
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2025
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1295534782 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 · 848581
3753 HOWARD HUGHES PKWY STE 200, Las Vegas, NV 89169

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Medina Tan Fnp-bc 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 ID3274044201
PECOS Enrollment IDI20250617002027
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Medina Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2592 N SANTIAGO BLVD
Orange, CA 92867
  • Reassigned Medicare billing, Nevada enrollment
  • 22 clinicians in this Medicare group
Family Medicine
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89169 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 15

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

Home Health
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
Durable Medical Equipment & Medical Supplies
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
Registered Nurse (Home Health)
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
Hospice Care, Community Based
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
In Home Supportive Care
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
General Practice
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
Clinical Exercise Physiologist
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169
Registered Nurse (Medical-Surgical)
3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS, NV 89169

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 Medina Tan's NPI number?

The NPI number for Medina Tan is 1295534782. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Medina Tan located?

Medina Tan practices at 3753 Howard Hughes Pkwy Ste 200, Las Vegas, NV 89169. The listed phone number is (502) 320-0023.

What is Medina Tan's specialty?

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

Is Medina Tan enrolled in Medicare?

Yes. Medina Tan 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.

Which organizations bill Medicare for Medina Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Medina Tan reassigns Medicare benefits to 2 organizations: Geiss Med Nevada PC (Orange, CA) and J M Geiss Do Apc (Santa Ana, CA). Each 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 Medina Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Medina Tan was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.