ANCY TOM (NP) – Family Nurse Practitioner, NPI 1669840203

ANCY TOM (NP) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 002012 (NV). The NPI Number for ANCY TOM (NP) is 1669840203

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANCY TOM (NP)
NPI
1669840203
Phone
Not provided
Address
2725 S JONES BLVD STE 104
Enumeration Date
14 September 2015
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7023842238
Graduation Year
2015 (11 years ago)
PAC ID
7012201940
Group Practice PAC ID
5698072130
Professional Enrollment ID
I20160815002894
Address ID
NV891465605LA2725XBLVD403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for ANCY TOM (NP)

  • 2725 S JONES BLVD STE 104

    LAS VEGAS, NV 891465605

    Phone:

    Type: Mailing

  • 2725 S JONES BLVD

    STE 104

    LAS VEGAS, NV 891465667

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $2,636.

Total Amount is formed as General ($2,636) + Research ($0) + Ownership ($0) = $2,636.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($458).

Total Amount

$2,636

General + Research + Ownership

Payments

142

Total payment records

General Amount

$2,636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2016-08-15

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
I20160815002894INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes51286$0
90833Psychotherapy with evaluation and management visit, 30 minutes34870$0
Q3014Telehealth originating site facility fee30967$0
View full utilization report →

Insurance plans in this area (ZIP 89146)

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Provider's Procedures

ANCY TOM (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNV90833Psychotherapy, 30 minutes with patient and/or family member4012

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: 5698072130View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Nurse PractitionerNV
Psychiatry, Pain ManagementOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANCY TOM (NP)?
ANCY TOM (NP) — NPI 1669840203 — is the standard way to identify this listing.
Is ANCY TOM (NP) still practicing?
ANCY TOM (NP) is currently listed as active in the public NPI registry.
What is ANCY TOM (NP) best known for clinically?
Directory data describes ANCY TOM (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ANCY TOM (NP) list a practice location?
Patients near Las Vegas, Nevada may find ANCY TOM (NP) in results; validate coverage separately.
Is the information about ANCY TOM (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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