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MELVIN BANZON
NPI 1952925513
Nurse Practitioner - Family in Las Vegas, NV

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment
6765 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89146(702) 852-6633 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melvin Banzon NPPES

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

MELVIN BANZON (NPI 1952925513) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (829626) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952925513
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMELVIN BANZON
Location Address6765 W CHARLESTON BLVD STE 110Las Vegas, NV 89146-2001
Mailing Address3095 Tarpon DrLas Vegas, NV 89120-1198 · (702) 580-3157
Phone(702) 852-6633
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 29, 2020
NPPES CertifiedMay 29, 2020
✔ NPI 1952925513 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 · 829626
6765 W CHARLESTON BLVD STE 110, Las Vegas, NV 89146
Open in Google Maps ↗

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melvin Banzon 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 ID6608298559
PECOS Enrollment IDI20200622002706
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 89146 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.

LEAH HUNDLEY
Counselor (School)
6765 W CHARLESTON BLVD STE 110
LAS VEGAS, NV 89146
Clark County (702) 341-9855
EJINE OKOROAFOR M D LTD
Psychiatry & Neurology (Psychiatry)
6765 W CHARLESTON BLVD STE 110
LAS VEGAS, NV 89146
Clark County (702) 380-8200

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 Melvin Banzon's NPI number?

The NPI number for Melvin Banzon is 1952925513. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Melvin Banzon located?

Melvin Banzon practices at 6765 W Charleston Blvd Ste 110, Las Vegas, NV 89146. The listed phone number is (702) 852-6633.

What is Melvin Banzon's specialty?

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

Is Melvin Banzon enrolled in Medicare?

Yes. Melvin Banzon 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.

When was this NPI record last updated?

The NPPES record for Melvin Banzon was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.