MRS. JESSICA E RADIVAN (PA-C) – Medical Physician Assistant, NPI 1720228612
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
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Provider Addresses for MRS. JESSICA E RADIVAN (PA-C)
PO BOX 15645
LAS VEGAS, NV 891145645
Phone: (702) 877-8600
Fax: (702) 258-6152
Type: Mailing
888, South Rancho Drive, Las Vegas, Clark County, Nevada, 89106, United States
LAS VEGAS, NV 891063810
Phone: (702) 877-8600
Fax: (702) 258-6152
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $485.
Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($145).
Total Amount
$485
General + Research + Ownership
Payments
16
Total payment records
General Amount
$485
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $145 |
| Melinta Therapeutics, LLC | $89 |
| Gilead Sciences, Inc. | $86 |
| ABBVIE INC. | $66 |
| Shionogi Inc | $54 |
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: 2009-06-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090619000525 | I | Physician Assistant | NV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 315 | 90 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 257 | 97 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 61 | $0 |
Insurance plans in this area (ZIP 89114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Infectious Disease | NV | |
| Internal Medicine, Infectious Disease | NV | |
| Physician Assistant | NV | |
| Infectious Disease, Hospitalist | NV | |
| Infectious Disease | NY |
Reviews
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