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

DR. SAMUEL LAMONT JERIDEAU FNP
NPI 1790719748
Nurse Practitioner - Family in North Las Vegas, NV

Active since July 10, 2006PECOS Enrolled
3249 W CRAIG RD STE 140, NORTH LAS VEGAS, NV 89032(702) 329-1732(702) 410-5553 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Dr. Samuel Lamont Jerideau Fnp NPPES

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

DR. SAMUEL LAMONT JERIDEAU FNP (NPI 1790719748) is an individual family provider in North Las Vegas, Nevada, licensed in Nevada (895490) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790719748
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SAMUEL LAMONT JERIDEAUCredential: FNP
Location Address3249 W CRAIG RD STE 140North Las Vegas, NV 89032-0789
Mailing Address3172 N Rainbow Blvd # 1122Las Vegas, NV 89108-4534 · (214) 516-4681 · Fax (702) 395-0018
Phone(702) 329-1732
Fax(702) 410-5553
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1790719748 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 · 895490
3249 W CRAIG RD STE 140, North Las Vegas, NV 89032
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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)

Dr. Samuel Lamont Jerideau Fnp 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 89032 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.

ETHEL SAJOR-SAM
Nurse Practitioner (Family)
3249 W CRAIG RD STE 140
N LAS VEGAS, NV 89032
Clark County (702) 750-1900
SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.
Pharmacy (Clinic Pharmacy)
3249 W CRAIG RD STE 140
NORTH LAS VEGAS, NV 89032
Clark County (702) 750-1900

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 Samuel Jerideau's NPI number?

The NPI number for Samuel Jerideau is 1790719748. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Samuel Jerideau located?

Samuel Jerideau practices at 3249 W Craig Rd Ste 140, North Las Vegas, NV 89032. The listed phone number is (702) 329-1732.

What is Samuel Jerideau's specialty?

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

Is Samuel Jerideau enrolled in Medicare?

Yes. Samuel Jerideau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Jerideau was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.