DESERT PRIMARY CARE PLLC
NPI 1396454070
Nurse Practitioner - Family in Las Vegas, NV
About Desert Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESERT PRIMARY CARE PLLC (NPI 1396454070) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Reena John, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Desert Primary Care Pllc 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 Desert Primary Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D2093382
Desert Primary Care PLLC · Las Vegas, NVFrequently 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 Desert Primary Care PLLC's NPI number?
The NPI number for Desert Primary Care PLLC is 1396454070. It was assigned to this organization in the NPPES registry on November 21, 2022.
Where is Desert Primary Care PLLC located?
Desert Primary Care PLLC is located at 5233 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 878-9500.
What is Desert Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Desert Primary Care PLLC enrolled in Medicare?
Yes. Desert Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Desert Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Desert Primary Care PLLC. 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.
Does Desert Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2093382) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Desert Primary Care PLLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Desert Primary Care Pllc · NPI 1396454070
Family organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since November 21, 2022.
## Identity
- **NPI:** 1396454070 (Entity type: Organization)
- **Enumerated:** November 21, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Reena John, MANAGING DIRECTOR
## Practice location
- **Address:** 5233 S EASTERN AVE, Las Vegas, NV 89119-2311
- **Phone:** (702) 878-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396454070) · Data from the CMS NPPES public registry.