DR. NICOLETTE KRIJGERS JANZEN (M.D.) – Pediatric Urology Physician, NPI 1639210032

DR. NICOLETTE KRIJGERS JANZEN (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. M1792 (TX). The NPI Number for DR. NICOLETTE KRIJGERS JANZEN (M.D.) is 1639210032

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLETTE KRIJGERS JANZEN (M.D.)
NPI
1639210032
Phone
(702) 575-0720
Address
11740 DEL SUR AVE
Enumeration Date
9 February 2007
Last Update Date
21 September 2009

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
8328263000
Graduation Year
1999 (27 years ago)
PAC ID
1850492778
Group Practice PAC ID
4385722081
Professional Enrollment ID
I20100204000149
Address ID
TX770302351HO6651XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

60 UROLOGY in NV

Provider Addresses for DR. NICOLETTE KRIJGERS JANZEN (M.D.)

  • 11740 DEL SUR AVE

    LAS VEGAS, NV 891386019

    Phone: (702) 575-0720

    Type: Mailing

  • 653 N TOWN CENTER DR

    SUITE 114

    LAS VEGAS, NV 891440514

    Phone: (702) 369-4999

    Fax: (702) 369-2993

    Type: Location

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 $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2023-08-24 • Largest payer in this snapshot: Boston Scientific Corporation ($95).

Total Amount

$95

General + Research + Ownership

Payments

3

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-24

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: 2010-02-04

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
I20100204000149IUrologyTXTBD

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 89138)

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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: 4385722081View full group profile
NameSpecialtyState
Pediatric MedicineTX
Pediatric Medicine, Allergy/ImmunologyTX
Pediatric Medicine, Pulmonary DiseaseTX
Physician AssistantTX
Orthopedic SurgeryTX
-TX
-TX
U R O L O G YAR
Hematology/Oncology, Pediatric MedicineTX
-TX

Reviews

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Frequently asked questions

Is DR. NICOLETTE KRIJGERS JANZEN (M.D.) listed with a National Provider Identifier?
Yes — DR. NICOLETTE KRIJGERS JANZEN (M.D.) has NPI 1639210032 on file in the registry.
Is DR. NICOLETTE KRIJGERS JANZEN (M.D.) shown as active in public data?
Registry records indicate DR. NICOLETTE KRIJGERS JANZEN (M.D.) maintains an active NPI.
What clinical focus is listed for DR. NICOLETTE KRIJGERS JANZEN (M.D.)?
At a glance, DR. NICOLETTE KRIJGERS JANZEN (M.D.) is tied to Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. NICOLETTE KRIJGERS JANZEN (M.D.) located near Las Vegas?
DR. NICOLETTE KRIJGERS JANZEN (M.D.) currently maps to Las Vegas, Nevada in this extract.
Can I trust this NPI listing for DR. NICOLETTE KRIJGERS JANZEN (M.D.)?
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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