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JESRON MARPAUNG
NPI 1477138626
Nurse Practitioner - Family in North Las Vegas, NV

Active since March 09, 2021PECOS EnrolledAccepts Medicare Assignment
6540 BLACK OAKS ST, NORTH LAS VEGAS, NV 89084(909) 913-8647 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1477138626
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESRON MARPAUNG
Location Address6540 BLACK OAKS STNorth Las Vegas, NV 89084-2045
Mailing Address6540 Black Oaks StNorth Las Vegas, NV 89084-2045 · (909) 913-8647
Phone(909) 913-8647
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1477138626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · F10201409
6540 BLACK OAKS ST, North Las Vegas, NV 89084
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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

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.

PECOS PAC ID7113317041
PECOS Enrollment IDI20211207002035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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.