Individual ProviderJonathan ArcayNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address620 Shadow Ln, Las Vegas, NV 89106-4119(702) 388-4506(800) 355-0808PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Arcay 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 ID1780028811Provider TypeIndividualFull NameArcay, JonathanCredentialNPGenderMaleSole ProprietorNoEnumeration Date4/19/2013Last Updated4/19/2016Contact InformationPractice LocationPractice Address620 Shadow Ln, Las Vegas, NV 89106-4119Phone(702) 388-4506Fax(702) 388-4810Mailing LocationMailing AddressPO Box 13917, Las Vegas, NV 89112-1917Phone(800) 355-0808Fax(310) 834-2862Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN001552NevadaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN53059Nevada