JESRON MARPAUNG
NPI 1477138626
Nurse Practitioner - Family in North Las Vegas, NV
About Jesron Marpaung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESRON MARPAUNG (NPI 1477138626) is an individual family provider in North Las Vegas, Nevada, licensed in Nevada (F10201409) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jesron Marpaung 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.
Medicare Billing Reassignment
Medicare enrollment records show Jesron Marpaung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89117
- Reassigned Medicare billing, Nevada enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jesron Marpaung's NPI number?
The NPI number for Jesron Marpaung is 1477138626. It was assigned to this individual provider in the NPPES registry on March 9, 2021.
Where is Jesron Marpaung located?
Jesron Marpaung practices at 6540 Black Oaks St, North Las Vegas, NV 89084. The listed phone number is (909) 913-8647.
What is Jesron Marpaung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesron Marpaung enrolled in Medicare?
Yes. Jesron Marpaung 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.
Which organization bills Medicare for Jesron Marpaung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesron Marpaung reassigns Medicare benefits to Absolute Primary Care Center (Las Vegas, NV). The 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 Jesron Marpaung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesron Marpaung accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Jesron Marpaung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jesron Marpaung was last updated on March 9, 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.
# Jesron Marpaung · NPI 1477138626
Family physician in North Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 9, 2021.
## Identity
- **NPI:** 1477138626 (Entity type: Individual)
- **Enumerated:** March 9, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F10201409 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 6540 BLACK OAKS ST, North Las Vegas, NV 89084-2045
- **Phone:** (909) 913-8647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Absolute Primary Care Center (NPI 1205265279, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477138626) · Data from the CMS NPPES public registry.