DEMISSIE H SOLOMON – Primary Care Nurse Practitioner, NPI 1548765167
Primary Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DEMISSIE H SOLOMON
Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States
LAS VEGAS, NV 891938978
Phone: (702) 216-3346
Fax: (702) 671-6883
Type: Mailing
1000, South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89145, United States
LAS VEGAS, NV 89145
Phone: (702) 479-4881
Fax: (702) 966-8662
Type: Location
1000 S Rainbow Blvd
Las Vegas, NV 89145
Phone: (702) 479-4881
Fax: (702) 966-8662
Type: Location
910 W HARRISON ST
REIDSVILLE, NC 273203324
Phone: (336) 342-9564
Fax: (336) 349-9723
Type: Location
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: 2021-10-05
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 |
|---|---|---|---|---|
| I20211005001063 | I | Nurse Practitioner | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89193)
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