Safe Harbor Medical, Inc.
A Medicare group practice based in Las Vegas, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204903792), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6204903792
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- NV
- Enrollments
- 2
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20080925000222 | NV | Part B Supplier - Clinic/Group Practice | 1821290115 |
| O20240926000831 | NV | Part A Provider - Federally Qualified Health Center (FQHC) | 1083327456 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Safe Harbor Medical, Inc.
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1083327456
-
Safe Harbor Medical, Inc.
- Family Medicine Physician
- Las Vegas, NV
- NPI 1821290115
Practice locations
- Las Vegas, NV2
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (8).
-
Judith Aquino Belete, APRN
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1033819859
-
Sara Blitenthal, FNP
- Primary Care Nurse Practitioner
- Jamaica, NY
- NPI 1801671706
-
Brandon Dabu
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1457641979
-
Tiffany Harper, LCSW
- Mental Health Counselor
- Las Vegas, NV
- NPI 1073122032
-
Irvin Camarillo Hernandez
- Clinical Social Worker
- Las Vegas, NV
- NPI 1194396697
-
Sheryl L Kaboud, APRN
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1619657996
-
Ryan Gabriel Leake, MA
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1093699100
-
Krista Chantal Nelson, FNP
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1669277513
-
Onyx Michele Reed, APRN-CNP
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1932741048
-
Lawson Charles Richter, M.D.
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1457320004
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.