Individual provider Active NPI

Rebecca Sequeira Wilkins, FNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1013581248
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
839640 Issued in NV
Practice address
911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380
Phone
(702) 960-4441
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 839640 NV Primary

Addresses

Primary practice location

911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380

Mailing address

4223 Holleys Hill St
Las Vegas, NV 89129-3273
Phone (702) 769-7020

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
I20210616002234 NV Practitioner - Nurse Practitioner 2264832989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
839640NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC Past Accepting new patients
Fremont Emergency Services Scherr LTD Nurse Practitioner Past Accepting new patients

Organizations & group practices 2

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1013581248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 HOLLEYS HILL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293273",
            "telephone_number": "702-769-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280380",
            "telephone_number": "702-960-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "REBECCA",
        "middle_name": "SEQUEIRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "839640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.