Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN FULLENWILEY-JONES
NPI 1558909549
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Ryan Fullenwiley-jones's NPI number?

The NPI number for Ryan Fullenwiley-jones is 1558909549. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Q: What is Ryan Fullenwiley-jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 20, 2019PECOS Enrolled

732 S 6TH ST STE R, LAS VEGAS, NV 89101(702) 829-7867(702) 935-9028 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Mar 17, 2023, Dec 20, 2019 (3 updates tracked since 2019).

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About Ryan Fullenwiley-jones NPPES

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

RYAN FULLENWILEY-JONES (NPI 1558909549) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (848383) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558909549

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRYAN FULLENWILEY-JONES

Location Address732 S 6TH ST STE RLas Vegas, NV 89101-6948

Mailing Address2535 W Cheyenne Ave Ste 102North Las Vegas, NV 89032-8930 · (702) 405-8088

Phone(702) 829-7867

Fax(702) 935-9028

Sole ProprietorYes

Enumeration DateDecember 20, 2019

Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1558909549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 848383

732 S 6TH ST STE R, Las Vegas, NV 89101

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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 (PECOS)

Ryan Fullenwiley-jones is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89101 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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