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FARA TAN
NPI 1588045850
Nurse Practitioner in Las Vegas, NV

Active since June 12, 2015PECOS Enrolled
7751 W FLAMINGO RD, A 100, LAS VEGAS, NV 89147(702) 804-1212(702) 804-1222 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fara Tan NPPES

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

FARA TAN (NPI 1588045850) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (APRN001912) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588045850
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFARA TAN
Location Address7751 W FLAMINGO RD, A 100Las Vegas, NV 89147-4399
Mailing Address7751 W Flamingo Rd, A 100Las Vegas, NV 89147-4399 · (702) 804-1212 · Fax (702) 804-1222
Phone(702) 804-1212
Fax(702) 804-1222
Sole ProprietorNo
Enumeration DateJune 12, 2015
✔ NPI 1588045850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NV · APRN001912
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7751 W FLAMINGO RD, Las Vegas, NV 89147
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fara Tan 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Fara Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Germin Clinical Neurology West
Same address
Neurology
7751 W FLAMINGO RD, #A100
Las Vegas, NV 89147
  • Reassigned Medicare billing, Nevada enrollment
  • 6 clinicians in this Medicare group
NPI 1265507271 (702) 804-6555
Innotiv Germin
13 mi
Neurology
1691 W HORIZON RIDGE PKWY, #100
Henderson, NV 89012
  • Reassigned Medicare billing, Nevada enrollment
  • 7 clinicians in this Medicare group
NPI 1225101330 (702) 804-1212

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 89147 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 4

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

CHRISTINA GALON NP, APRN
Nurse Practitioner (Acute Care)
7751 W FLAMINGO RD, A100
LAS VEGAS, NV 89147
Clark County (702) 804-6555
GERMIN CLINICAL NEUROLOGY WEST
Psychiatry & Neurology (Neurology)
7751 W FLAMINGO RD, #A100
LAS VEGAS, NV 89147
Clark County (702) 804-6555
DARLENE K MULLON M.D.
Psychiatry & Neurology (Neurology)
7751 W FLAMINGO RD, SUITE A-100
LAS VEGAS, NV 89147
Clark County (702) 804-6555
GILBERT STEPHAN TAUSCH MD
Psychiatry & Neurology (Neurology)
7751 W FLAMINGO RD, STE. A100
LAS VEGAS, NV 89147
Clark County (702) 804-6555

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 Fara Tan's NPI number?

The NPI number for Fara Tan is 1588045850. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Fara Tan located?

Fara Tan practices at 7751 W Flamingo Rd A 100, Las Vegas, NV 89147. The listed phone number is (702) 804-1212.

What is Fara Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fara Tan enrolled in Medicare?

Yes. Fara Tan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fara Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fara Tan reassigns Medicare benefits to 2 organizations: Germin Clinical Neurology West (Las Vegas, NV) and Innotiv Germin (Henderson, NV). Each 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 Fara Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fara Tan was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.