1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Family Medicine
  6. NPI Profile

ROSENBERG INITIATIVE
NPI 1912765736
Family Medicine in Las Vegas, NV

Active since March 07, 2024
929 VINCENT WAY, LAS VEGAS, NV 89145(702) 468-2686(702) 852-0441 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Mar 7, 2024 (2 updates tracked since 2024).

About Rosenberg Initiative NPPES

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

ROSENBERG INITIATIVE (NPI 1912765736), doing business as Rosenberg Initiative Clinic On Wheels, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since March 2024. The organization lists Brandon S Line, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1912765736
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSENBERG INITIATIVE
Location Address929 VINCENT WAYLas Vegas, NV 89145-6105
Mailing AddressPo Box 46682Las Vegas, NV 89114-6682 · (702) 468-2686 · Fax (702) 852-0441
Phone(702) 468-2686
Fax(702) 852-0441
Organization SubpartNo
Authorized OfficialBrandon S LineChief Operations Officer · (702) 232-0833
Enumeration DateMarch 7, 2024
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1912765736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
929 VINCENT WAY, Las Vegas, NV 89145
Open in Google Maps ↗

Other Names 1

Doing Business AsRosenberg Initiative Clinic On Wheels

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosenberg Initiative is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rosenberg Initiative, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeanette Rosenberg-Line, APRN
Nurse Practitioner
NPI 1548986813
1 BREAKTHROUGH WAY
Las Vegas, NV 89135
(702) 732-1493
✔ PECOS✔ Accepts Medicare4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rosenberg Initiative's NPI number?

The NPI number for Rosenberg Initiative is 1912765736. It was assigned to this organization in the NPPES registry on March 7, 2024. The provider is doing business as Rosenberg Initiative Clinic on Wheels.

Where is Rosenberg Initiative located?

Rosenberg Initiative is located at 929 Vincent Way, Las Vegas, NV 89145. The listed phone number is (702) 468-2686.

What is Rosenberg Initiative's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rosenberg Initiative enrolled in Medicare?

Yes. Rosenberg Initiative is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rosenberg Initiative?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rosenberg Initiative. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosenberg Initiative was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.