JERRY ANN BALBOA GUMABON
NPI 1407651219
Nurse Practitioner - Family in Las Vegas, NV
About Jerry Ann Balboa Gumabon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY ANN BALBOA GUMABON (NPI 1407651219) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (824950) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Jerry Ann Balboa Gumabon 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 89122 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89122
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 Jerry Ann Gumabon's NPI number?
The NPI number for Jerry Ann Gumabon is 1407651219. It was assigned to this individual provider in the NPPES registry on February 17, 2025.
Where is Jerry Ann Gumabon located?
Jerry Ann Gumabon practices at 5216 Boulder Hwy, Las Vegas, NV 89122. The listed phone number is (702) 547-6764.
What is Jerry Ann Gumabon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jerry Ann Gumabon enrolled in Medicare?
Yes. Jerry Ann Gumabon 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 Jerry Ann Gumabon was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Jerry Ann Balboa Gumabon · NPI 1407651219
Family physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since February 17, 2025.
## Identity
- **NPI:** 1407651219 (Entity type: Individual)
- **Enumerated:** February 17, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 824950 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5216 BOULDER HWY, Las Vegas, NV 89122-6074
- **Phone:** (702) 547-6764
## 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 2024
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407651219) · Data from the CMS NPPES public registry.