JATEKO FAMILY MEDICAL GROUP
NPI 1356528103
Family Medicine in N Las Vegas, NV

Q: What is Jeaniene A Talley MD A Professional's NPI number?

The NPI number for Jeaniene A Talley MD A Professional is 1356528103. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Jateko Family Medical Group.

Q: What is Jeaniene A Talley MD A Professional's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 23, 2008

3860 W ANN RD, N LAS VEGAS, NV 89031(702) 474-4110 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2021, Jul 30, 2021, Jan 14, 2019 (3 updates tracked since 2019).

On this page

About Jateko Family Medical Group NPPES

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

JATEKO FAMILY MEDICAL GROUP (NPI 1356528103) is a healthcare organization registered as a family medicine in N Las Vegas, Nevada and active in the NPI registry since January 2008. The organization lists Jeaniene A Talley, President, as its authorized official.

NPPES Registry Identity

NPI1356528103

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJEANIENE A TALLEY MD A PROFESSIONAL

Location Address3860 W ANN RDN Las Vegas, NV 89031-4409

Mailing AddressPo Box 92001Las Vegas, NV 89193-2001 · (702) 218-0268

Phone(702) 474-4110

Organization SubpartNo

Authorized OfficialJeaniene A TalleyPresident · (702) 474-4110

Enumeration DateJanuary 23, 2008

Last NPPES UpdateAugust 2, 20213 updates tracked since enumeration

NPPES CertifiedAugust 2, 2021

✔ NPI 1356528103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 10389

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3860 W ANN RD, N Las Vegas, NV 89031

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Other Names 1

Doing Business AsJateko Family Medical Group

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)

Jateko Family Medical Group 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 Jateko Family Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeaniene Talley, MD

Family Practice

NPI 1003889585

3860 W ANN RD
N Las Vegas, NV 89031

(702) 474-4110

✔ PECOS✔ Accepts MedicareSame address

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 Jeaniene A Talley MD A Professional's NPI number?

The NPI number for Jeaniene A Talley MD A Professional is 1356528103. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Jateko Family Medical Group.

Where is Jeaniene A Talley MD A Professional located?

Jeaniene A Talley MD A Professional is located at 3860 W Ann Rd, N Las Vegas, NV 89031. The listed phone number is (702) 474-4110.

What is Jeaniene A Talley MD A Professional's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeaniene A Talley MD A Professional enrolled in Medicare?

Yes. Jeaniene A Talley MD A Professional is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeaniene A Talley MD A Professional?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jeaniene A Talley MD A Professional. 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 Jeaniene A Talley MD A Professional was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.