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JUSTIN PEDRAZA MSN, APRN, FNP-BC
NPI 1679387179
Nurse Practitioner - Family in Las Vegas, NV

Active since February 04, 2025PECOS EnrolledAccepts Medicare Assignment
2650 SPRINGSTONE ST, LAS VEGAS, NV 89142(702) 509-7376(702) 509-7371 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2025, Feb 9, 2025 (2 updates tracked since 2025).

About Justin Pedraza Msn, Aprn, Fnp-bc NPPES

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

JUSTIN PEDRAZA MSN, APRN, FNP-BC (NPI 1679387179) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (845987) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679387179
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN PEDRAZACredential: MSN, APRN, FNP-BC
Location Address2650 SPRINGSTONE STLas Vegas, NV 89142-2046
Mailing Address2650 Springstone StLas Vegas, NV 89142-2046 · (702) 629-0245
Phone(702) 509-7376
Fax(702) 509-7371
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 4, 2025
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1679387179 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 · 845987
2650 SPRINGSTONE ST, Las Vegas, NV 89142
Open in Google Maps ↗

Other Identifiers 1

Other845987NV · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

Justin Pedraza Msn, Aprn, Fnp-bc 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 ID9436670254
PECOS Enrollment IDI20250310002534
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 Justin Pedraza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eon Wellness And Primary Care PLLC
Same address
Clinic/Center
2650 SPRINGSTONE ST
Las Vegas, NV 89142
  • Reassigned Medicare billing, Nevada enrollment
NPI 1679379572 (702) 509-7376
Sciometrix Inc
2,221 mi
General Practice
3350 VICTORY BLVD
Staten Island, NY 10314
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1457065591 (860) 335-5064

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 89142 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

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

EON WELLNESS AND PRIMARY CARE PLLC
Clinic/Center
2650 SPRINGSTONE ST
LAS VEGAS, NV 89142
Clark County (702) 509-7376

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 Justin Pedraza's NPI number?

The NPI number for Justin Pedraza is 1679387179. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Where is Justin Pedraza located?

Justin Pedraza practices at 2650 Springstone St, Las Vegas, NV 89142. The listed phone number is (702) 509-7376.

What is Justin Pedraza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Pedraza enrolled in Medicare?

Yes. Justin Pedraza 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 organizations bill Medicare for Justin Pedraza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Pedraza reassigns Medicare benefits to 2 organizations: Eon Wellness And Primary Care PLLC (Las Vegas, NV) and Sciometrix Inc (Staten Island, NY). 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 Justin Pedraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Pedraza accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Justin Pedraza 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 Justin Pedraza was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.