Individual provider Active NPI

Emmanuel S Ekwere, CRNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1013339886
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
830196 Issued in NV
Practice address
3550 W Sahara Ave
Las Vegas, NV 89102-5867
Phone
(702) 873-7171
Fax
(702) 362-0261
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013565 PA
Family Nurse Practitioner 363LF0000X 830196 NV Primary

Addresses

Primary practice location

3550 W Sahara Ave
Las Vegas, NV 89102-5867

Mailing address

3758 Las Vegas Blvd S
Las Vegas, NV 89109-4132
Phone (302) 252-1519

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Epic Other
Other URL Epic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426001156 NV Practitioner - Nurse Practitioner 4486974516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Medical Group of Nevada, P.CGroup PAC ID 1557454410, 30 clinicians

Practice addresses (Care Compare)

8116 Las Vegas Blvd S
Las Vegas, NV 89123-1015
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
71.81
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
830196NVMDFamily Nurse Practitioner
SP013565PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of Nevada, P.C Family CurrentSince Feb 10, 2021 Accepting new patients

Locations

3550 W Sahara Ave
Las Vegas, NV 89102
Phone (702) 566-6061

8116 Las Vegas Blvd S
Las Vegas, NV 89123
Phone (702) 407-7063

3758 Las Vegas Blvd S
Las Vegas, NV 89109
Phone (702) 262-9028

3290 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 254-2598

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1013339886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 LAS VEGAS BLVD S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891094132",
            "telephone_number": "302-252-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025867",
            "telephone_number": "702-873-7171",
            "fax_number": "702-362-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWERE",
        "first_name": "EMMANUEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "830196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Not sure",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Epic",
            "address_1": "8116 Las Vegas Blvd S",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891231015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "address_1": "8116 Las Vegas Blvd S",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891231015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.