KARISSA TAN APN-BC NPI 1114270899

NPI Information

  • NPI: 1114270899
  • Provider Name: KARISSA TAN, APN-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1655 E CACTUS AVE STE 300
    LAS VEGAS, NV
    ZIP 89183
  • Phone: (702) 724-8787

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NPI Details

Karissa Tan, APN-BC is an adult health nurse practitioner in Las Vegas, NV with 14 years of experience. Karissa Tan, APN-BC NPI is 1114270899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1655 E CACTUS AVE STE 300
LAS VEGAS, NV
ZIP 89183-723
Phone: (702) 724-8787
Fax: (702) 878-3078

The NPI 1114270899 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2012)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 10/18/2012 and was last updated on 11/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health306242NEW YORKNo
2363LA2200XNurse PractitionerAdult HealthAPRN002657NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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