OrganizationSapphire Medical Group IncNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3650 S Eastern Ave Ste 330, Las Vegas, NV 89169-3345(702) 767-7180PECOS EnrollmentBased on the most recent information from CMS, provider Sapphire Medical Group Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1215526462Provider TypeOrganizationFull NameSapphire Medical Group IncSubpartNoEnumeration Date1/12/2021Last Updated1/12/2021Contact InformationPractice LocationPractice Address3650 S Eastern Ave Ste 330, Las Vegas, NV 89169-3345Phone(702) 767-7180FaxUnlisted FaxMailing LocationMailing Address3650 S Eastern Ave Ste 330, Las Vegas, NV 89169-3345Phone(702) 767-7180FaxUnlisted FaxAuthorized OfficialNameChristiansen, Avery (President)Phone(702) 767-7180Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer