Look up the most recent NPI and PECOS records

Charisse Lachica Kokseng

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9490 Veterans Ct, Las Vegas, NV 89148-4631

PECOS Enrollment

This provider is enrolled in PECOS as CHARISSE KOKSENG.

Based on the most recent information from CMS, provider Charisse Lachica Kokseng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1255908695
Provider Type
Individual
Full Name
Kokseng, Charisse Lachica
Title
Mrs.
Credential
NP-C, WCS-C, EDS-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/4/2021
Last Updated
4/10/2025

Contact Information

Practice Location

9490 Veterans Ct, Las Vegas, NV 89148-4631

(702) 867-0800

(866) 384-4453

Mailing Location

9490 Veterans Ct, Las Vegas, NV 89148-4631

(702) 867-0800

(866) 384-4453

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 841867 Nevada

Charisse Lachica Kokseng

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Amene, Heyaw A

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Yun, Kikam

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Diamos, Rosemarie Malcampo

Mechal, Semaria

Salvador, Mark Gordon Vallejo