MARGUARETTE JEAN SUPRIEN – Family Nurse Practitioner, NPI 1881051415

MARGUARETTE JEAN SUPRIEN is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. APRN001817 (NV). The NPI Number for MARGUARETTE JEAN SUPRIEN is 1881051415

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MARGUARETTE JEAN SUPRIEN
NPI
1881051415
Phone
(702) 997-5588
Address
3230 S BUFFALO DR
Enumeration Date
27 January 2016
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026297490
Graduation Year
2014 (12 years ago)
PAC ID
4082913751
Group Practice PAC ID
3870808744
Professional Enrollment ID
I20160502000505
Address ID
NV891202758LA3027XRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

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Provider Addresses for MARGUARETTE JEAN SUPRIEN

  • South Buffalo Drive, Las Vegas, Clark County, Nevada, 89145, United States

    SUITE 104

    LAS VEGAS, NV 891172505

    Phone: (702) 997-5588

    Type: Mailing

  • 6900 N PECOS RD

    NORTH LAS VEGAS, NV 890864400

    Phone: (702) 791-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-05-02

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
I20160502000505INurse 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 89117)

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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: 3870808744View full group profile
NameSpecialtyState
Nurse PractitionerNV
P S Y C H I A T R YNV

Reviews

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Frequently asked questions

What is MARGUARETTE JEAN SUPRIEN's NPI number?
MARGUARETTE JEAN SUPRIEN's NPI is 1881051415 — the number used across U.S. healthcare to identify this provider.
Is MARGUARETTE JEAN SUPRIEN still an active registrant?
MARGUARETTE JEAN SUPRIEN carries an active NPI according to the public dataset.
What clinical focus is listed for MARGUARETTE JEAN SUPRIEN?
At a glance, MARGUARETTE JEAN SUPRIEN is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Nevada is MARGUARETTE JEAN SUPRIEN registered?
Use Las Vegas, Nevada as the headline location for MARGUARETTE JEAN SUPRIEN here.
When was this NPI issued?
Enumeration for MARGUARETTE JEAN SUPRIEN is noted as January 27, 2016 where the registry provides it.

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