Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerome Agullana Nicolas, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1497506463

Jerome Agullana Nicolas, APRN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Las Vegas Medical Group LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5380 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-1878
Phone: (725) 333-8465
Fax: (725) 333-8466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 874921 (NV)

Record details

NPI number1497506463
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Las Vegas Medical Group Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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