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

Jerry Ann Balboa Gumabon

Individual provider Nurse Practitioner · NPI 1407651219

Jerry Ann Balboa Gumabon is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Carefirst Urgent Care LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

5216 Boulder Hwy
Las Vegas, NV 89122-6074
Phone: (702) 547-6764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 824950 (NV)
Nurse Practitioner Taxonomy 363L00000X · Licence 824950 (NV)

Record details

NPI number1407651219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Carefirst Urgent Care Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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