JOHN JOSEPH DE GUZMAN (APRN) – Family Nurse Practitioner, NPI 1306626759

JOHN JOSEPH DE GUZMAN (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN811917 (NV). The NPI Number for JOHN JOSEPH DE GUZMAN (APRN) is 1306626759

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JOSEPH DE GUZMAN (APRN)
NPI
1306626759
Phone
(702) 476-9999
Address
2809 W CHARLESTON BLVD STE 150
Enumeration Date
3 October 2023
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027800300
Graduation Year
2023 (3 years ago)
PAC ID
0840646857
Group Practice PAC ID
3274846001
Professional Enrollment ID
I20231027000804
Address ID
NV890523986HE2970XPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for JOHN JOSEPH DE GUZMAN (APRN)

  • 2809 W CHARLESTON BLVD STE 150

    LAS VEGAS, NV 891021998

    Phone: (702) 476-9999

    Type: Mailing

  • 1610 E LAKE MEAD BLVD

    NORTH LAS VEGAS, NV 890307145

    Phone: (702) 476-9999

    Type: Location

  • 9033 W SAHARA AVE

    LAS VEGAS, NV 891175745

    Phone: (702) 476-9999

    Type: Mailing

  • 1655 W HORIZON RIDGE PKWY

    HENDERSON, NV 890123494

    Phone: (702) 476-9999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-10-27

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
I20231027000804INurse PractitionerNVTBD

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 89102)

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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: 3274846001View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NY
Nurse PractitionerNV
Hospice/Palliative Care, Critical Care (Intensivists)NV
Nurse PractitionerNV
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)NV
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineAZ
Nurse PractitionerNV
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the registry number for JOHN JOSEPH DE GUZMAN (APRN)?
The registry entry for JOHN JOSEPH DE GUZMAN (APRN) shows NPI 1306626759.
Should I treat JOHN JOSEPH DE GUZMAN (APRN) as an active provider?
Patients and plans typically see JOHN JOSEPH DE GUZMAN (APRN) as active in the national extract.
How should patients interpret JOHN JOSEPH DE GUZMAN (APRN)'s specialty?
The extract shows Family Nurse Practitioner for JOHN JOSEPH DE GUZMAN (APRN). Clinical services aligned with this taxonomy classification.
Is JOHN JOSEPH DE GUZMAN (APRN) tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, JOHN JOSEPH DE GUZMAN (APRN) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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