MARY JESSICA YANGA (FNP-BC) – Family Nurse Practitioner, NPI 1649028812

MARY JESSICA YANGA (FNP-BC) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 816881 (NV). The NPI Number for MARY JESSICA YANGA (FNP-BC) is 1649028812

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MARY JESSICA YANGA (FNP-BC)
NPI
1649028812
Phone
(702) 796-7150
Address
5380 S RAINBOW BLVD STE 308
Enumeration Date
10 May 2024
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF MEDICINE
Secondary Phone
7022331000
Graduation Year
2023 (3 years ago)
PAC ID
1951848514
Group Practice PAC ID
8426034307
Professional Enrollment ID
I20240801001088
Address ID
NV891092441LA3201XPKWY400
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 MARY JESSICA YANGA (FNP-BC)

  • 5380 S RAINBOW BLVD STE 308

    LAS VEGAS, NV 891181880

    Phone: (702) 796-7150

    Mailing address matches the actual address.

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: 2024-08-01

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
I20240801001088INurse 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 89118)

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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: 8426034307View full group profile
NameSpecialtyState
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NV
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)NV
Interventional CardiologyNV
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology), Internal MedicineNV
Interventional Cardiology, Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyNV
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)NV
Internal Medicine, Cardiovascular Disease (Cardiology)NV

Reviews

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Frequently asked questions

Can I verify MARY JESSICA YANGA (FNP-BC) with an NPI only?
You can start verification with NPI 1649028812 for MARY JESSICA YANGA (FNP-BC), then check state licensing separately.
Can I rely on MARY JESSICA YANGA (FNP-BC) being an active provider?
As of the registry snapshot, MARY JESSICA YANGA (FNP-BC) is marked active.
What healthcare role does MARY JESSICA YANGA (FNP-BC) hold?
Scheduling teams often label MARY JESSICA YANGA (FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MARY JESSICA YANGA (FNP-BC) serve?
MARY JESSICA YANGA (FNP-BC)'s listing highlights Las Vegas, Nevada; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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