Individual ProviderGelvis ConcepcionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3650 S Eastern Ave Ste 300, Las Vegas, NV 89169-3345(702) 333-1009(702) 637-7535PECOS EnrollmentBased on the most recent information from CMS, provider Gelvis Concepcion 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 3 days ago.Profile DetailsProvider ID1588047989Provider TypeIndividualFull NameConcepcion, GelvisTitleMr.CredentialNPGenderMaleSole ProprietorYesEnumeration Date7/2/2015Last Updated8/20/2025Contact InformationPractice LocationPractice Address3650 S Eastern Ave Ste 300, Las Vegas, NV 89169-3345Phone(702) 333-1009FaxUnlisted FaxMailing LocationMailing Address4942 Miners Ridge Dr, Las Vegas, NV 89122-8101Phone(702) 637-7535FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense835170NevadaCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer