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

Mr. John R Phoenix, APRN

Individual provider Family Nurse Practitioner · NPI 1013289024

Mr. John R Phoenix, APRN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2011, 15 years ago. Practices with Superior Emergency Physicians Harris PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
15
Licensed in
NV
In the registry since
2012
Specialties on file
2
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

1909 Cochran St
Las Vegas, NV 89104-3538
Phone: (702) 278-9684
Fax: (702) 330-4499
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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 APRN001359 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN001359 (NV)

Record details

NPI number1013289024
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedFebruary 7, 2012
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Superior Emergency Physicians Harris Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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