JEROME AGULLANA NICOLAS APRN
NPI 1497506463
Nurse Practitioner - Acute Care in Las Vegas, NV

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment
5380 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89118(725) 333-8465(725) 333-8466 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome Agullana Nicolas Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME AGULLANA NICOLAS APRN (NPI 1497506463) is an individual acute care provider in Las Vegas, Nevada, licensed in Nevada (874921) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497506463
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJEROME AGULLANA NICOLASCredential: APRN
Location Address5380 S RAINBOW BLVD STE 110Las Vegas, NV 89118-1878
Mailing Address5380 S Rainbow Blvd Ste 110Las Vegas, NV 89118-1878 · (725) 333-8465 · Fax (725) 333-8466
Fax(725) 333-8466
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 28, 2024
Last NPPES UpdateJuly 9, 2024
NPPES CertifiedJuly 4, 2024
NPI 1497506463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NV · 874921
5380 S RAINBOW BLVD STE 110, Las Vegas, NV 89118

Accepted Insurance

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

Jerome Agullana Nicolas Aprn 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 ID42741514
PECOS Enrollment IDI20241008002749
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290046
Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89118 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.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
5380 S RAINBOW BLVD STE 110
LAS VEGAS, NV 89118
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5380 S RAINBOW BLVD STE 110
LAS VEGAS, NV 89118

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 Jerome Nicolas's NPI number?

The NPI number for Jerome Nicolas is 1497506463. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Jerome Nicolas located?

Jerome Nicolas practices at 5380 S Rainbow Blvd Ste 110, Las Vegas, NV 89118. The listed phone number is (725) 333-8465.

What is Jerome Nicolas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jerome Nicolas enrolled in Medicare?

Yes. Jerome Nicolas 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.

What insurance does Jerome Nicolas accept?

Health plans from Ambetter from Arizona Complete Health list Jerome Nicolas 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.

Is Jerome Nicolas affiliated with any hospitals?

According to CMS data, Jerome Nicolas is affiliated with Valley Hospital Medical Center, Summerlin Hospital Medical Center and Spring Valley Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jerome Nicolas was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.