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

Q: 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.

Q: What is Medina Tan's specialty?

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

Q: 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 8 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.

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: August 09, 2026.

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

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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

Phone(502) 320-0023

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

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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 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.

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 13

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

SIGNAL HEALTH GROUP INC

Home Health