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MRS. JESSICA E RADIVAN PA-C
NPI 1720228612
Physician Assistant - Medical in Las Vegas, NV

Active since March 05, 2009PECOS EnrolledAccepts Medicare Assignment
888 S RANCHO DR, LAS VEGAS, NV 89106(702) 877-8600(702) 258-6152 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jessica E Radivan Pa-c NPPES

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

MRS. JESSICA E RADIVAN PA-C (NPI 1720228612) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA1146) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Centennial Hills Hospital Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720228612
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JESSICA E RADIVANCredential: PA-C
Location Address888 S RANCHO DRLas Vegas, NV 89106-3810
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 877-8600 · Fax (702) 258-6152
Phone(702) 877-8600
Fax(702) 258-6152
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 5, 2009
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1720228612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NV · PA1146
888 S RANCHO DR, Las Vegas, NV 89106
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica E Moore Pa-c

Other Identifiers 3

OtherV110828NV · Sma Medicare
Medicaid1720228612NV
Medicare PINBU830YNV

Accepted Insurance

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

Mrs. Jessica E Radivan Pa-c 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 ID3476604133
PECOS Enrollment IDI20090619000525
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
263 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services40 patients

Hospital Affiliations CMS Care Compare

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

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290054
Location6900 N Durango DrLas Vegas, NV 89149 · Clark County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

RAYMOND MATHIESON PA-C
Physician Assistant
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
BRIAN CALLIER PA-C
Physician Assistant (Medical)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
PHILLIP BRIAN WHITTENBERG PA C
Physician Assistant (Medical)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-5199
CINDY ANN MILLER PA-C
Physician Assistant (Medical)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-7600
BINNI KOTHARI
Physician Assistant
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
RICARDO CRUZ D.O.
Family Medicine
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
DR. HOLLIS M JULSON M.D.
Family Medicine
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
CHRISTOPHER JOHN GADOMSKI DO
Pediatrics (Pediatric Emergency Medicine)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-5114

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 Jessica Radivan's NPI number?

The NPI number for Jessica Radivan is 1720228612. It was assigned to this individual provider in the NPPES registry on March 5, 2009. The provider is also known as Jessica E Moore Pa-C.

Where is Jessica Radivan located?

Jessica Radivan practices at 888 S Rancho Dr, Las Vegas, NV 89106. The listed phone number is (702) 877-8600.

What is Jessica Radivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Radivan enrolled in Medicare?

Yes. Jessica Radivan 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 Jessica Radivan accept?

Health plans from Ambetter from Arizona Complete Health list Jessica Radivan 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 Jessica Radivan affiliated with any hospitals?

According to CMS data, Jessica Radivan is affiliated with Centennial Hills Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Radivan was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.