Changing Minds Medicine LLC
NPI 1205455961 · Family Nurse Practitioner · Henderson, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Changing Minds Medicine LLC is a Family Nurse Practitioner organization in Henderson, NV (NPI 1205455961).
Provider details
- NPI number
- 1205455961
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jamie Brown, Business Manager(702) 405-8088
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Frequently asked questions
- What is Changing Minds Medicine LLC's NPI number?
- Changing Minds Medicine LLC's National Provider Identifier (NPI) is 1205455961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Minds Medicine LLC?
- Changing Minds Medicine LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Changing Minds Medicine LLC located?
- Changing Minds Medicine LLC's practice location on file with NPPES is 2960 W Horizon Ridge Pkwy, Henderson, NV 89052-4666.
- What is Changing Minds Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Changing Minds Medicine LLC is (702) 405-8088.
- Does Changing Minds Medicine LLC accept Medicare?
- Changing Minds Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Changing Minds Medicine LLC?
- The authorized official listed on Changing Minds Medicine LLC's NPPES record is Jamie Brown, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changing Minds Medicine LLC's NPI active?
- Yes — Changing Minds Medicine LLC's NPI (1205455961) is active in the NPPES registry as of the last update on 2024-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.