SANOEUN NAN
NPI 1356887376
Nurse Practitioner - Family in Henderson, NV
About Sanoeun Nan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANOEUN NAN (NPI 1356887376) is an individual family provider in Henderson, Nevada, licensed in Nevada (002433) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Sanoeun Nan 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
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 Sanoeun Nan's NPI number?
The NPI number for Sanoeun Nan is 1356887376. It was assigned to this individual provider in the NPPES registry on January 14, 2017.
Where is Sanoeun Nan located?
Sanoeun Nan practices at 10652 S Eastern Ave, Henderson, NV 89052. The listed phone number is (702) 476-2040.
What is Sanoeun Nan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sanoeun Nan enrolled in Medicare?
Yes. Sanoeun Nan 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.
When was this NPI record last updated?
The NPPES record for Sanoeun Nan was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sanoeun Nan · NPI 1356887376
Family physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since January 14, 2017.
## Identity
- **NPI:** 1356887376 (Entity type: Individual)
- **Enumerated:** January 14, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 002433 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 10652 S EASTERN AVE, Henderson, NV 89052-4952
- **Phone:** (702) 476-2040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356887376) · Data from the CMS NPPES public registry.