JONATHAN VANN – Hospitalist Physician, NPI 1144808304

JONATHAN VANN is a healthcare provider. based in Henderson, Nevada. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold a License No. DO3662 (NV). The NPI Number for JONATHAN VANN is 1144808304

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN VANN
NPI
1144808304
Phone
(702) 492-8592
Address
102 E Lake Mead Pkwy
Enumeration Date
30 March 2021
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023045900
Graduation Year
2021 (5 years ago)
PAC ID
1759780620
Group Practice PAC ID
1254571896
Professional Enrollment ID
I20240508003734
Address ID
NV891175485LA8689XBLVD416
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

343 HOSPITALIST in NV

Provider Addresses for JONATHAN VANN

  • 102 E Lake Mead Pkwy

    Henderson, NV 890155575

    Phone: (702) 492-8592

    Fax: (702) 492-8045

    Type: Location

  • PO BOX 33269

    PHOENIX, AZ 850673269

    Phone: (602) 406-4786

    Fax: (916) 636-4358

    Type: Mailing

  • 3001 SAINT ROSE PKWY

    HENDERSON, NV 890523839

    Phone: (702) 492-8592

    Fax: (702) 492-8045

    Type: Location

  • 8280 W Warm Springs Rd

    Las Vegas, NV 891133612

    Phone: (702) 492-8592

    Fax: (702) 492-8045

    Type: Location

  • 620 SHADOW LN

    LAS VEGAS, NV 891064119

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: PFIZER INC. ($26).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240508003734IInternal MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254571896View full group profile
NameSpecialtyState
Internal MedicineNV
Internal MedicineNV
Infectious DiseaseNY
Internal MedicineNV
Nurse PractitionerNV
Internal Medicine, Critical Care (Intensivists)AZ
-TN
Hospitalist, Internal MedicineNV
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists)MN
Nurse PractitionerNV

Reviews

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Frequently asked questions

Is JONATHAN VANN listed with a National Provider Identifier?
Yes — JONATHAN VANN has NPI 1144808304 on file in the registry.
Active or inactive — what applies to JONATHAN VANN?
You should see JONATHAN VANN as active in CMS-hosted NPPES data.
What clinical focus is listed for JONATHAN VANN?
At a glance, JONATHAN VANN is tied to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JONATHAN VANN?
Directory geography for JONATHAN VANN centers on Henderson, Nevada.
Can I trust this NPI listing for JONATHAN VANN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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