Individual ProviderMelissa HanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address888 S Rancho Dr, Las Vegas, NV 89106-3810(702) 877-5199(702) 579-3203PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Han is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285242925Provider TypeIndividualFull NameHan, MelissaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date7/20/2020Last Updated10/23/2025Contact InformationPractice LocationPractice Address888 S Rancho Dr, Las Vegas, NV 89106-3810Phone(702) 877-5199FaxUnlisted FaxMailing LocationMailing AddressPO Box 35380, Las Vegas, NV 89133-5380Phone(702) 579-3203Fax(702) 838-1456Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense829996Nevada