Procare Hospice of Nevada LLC
A Medicare group practice based in Las Vegas, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971754805), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3971754805
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NV
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20121127000134 | NV | Part A Provider - Hospice | 1700137395 |
| O20130608000093 | NV | Part B Supplier - Clinic/Group Practice | 1700137395 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Procare Hospice of Nevada, LLC
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1700137395
-
Procare Hospice of Nevada, LLC
- Family Medicine Physician
- Las Vegas, NV
- NPI 1316559081
Practice locations
- Las Vegas, NV2
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (4).
-
Karen Arcenio Bangayan, APRN, CNP
- Nurse Practitioner
- Las Vegas, NV
- NPI 1417624230
-
Kang Choi, D.O
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Henderson, NV
- NPI 1851753768
-
Amy Marie Foss, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1477191484
-
Maria Rhotchie Delgado Jereza, MSN, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1376363804
-
Melissa Malthouse, FNP-BC
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1316507387
-
Ameetinder Mann, APRN
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1710781877
-
Vanessa Gail Mirabbasi, NP
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1932362480
-
Clevis T. Parker Sr., MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Abilene, TX
- NPI 1578525382
-
Baraka Abdul Spencer, APRN, FNP-BC
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1841069978
-
Stacy Ann Marie Thaler, AG-ACNP
- Gerontology Nurse Practitioner
- Henderson, NV
- NPI 1144106410
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.