Prime Health Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIME HEALTH SERVICES LLC

Practice address

5052 S Jones Blvd Ste 130
Las Vegas, NV 89118-0567

Phone

(702) 466-4148

Fax

(702) 904-8704

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Marie Ann PONPI 1316688237

Title

Family Nurse Practitioner

Phone

(702) 466-4148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Ann PO

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1316688237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706313600000",
    "number": "1013612092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 BARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 S JONES BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180567",
            "telephone_number": "702-466-4148",
            "fax_number": "702-904-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "PO",
        "authorized_official_first_name": "MARIE ANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-466-4148"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera Primas, CPC-I, CADC-I
• Prime Cardiology Group PLLC
• Prime Care Medical Services, Inc.
• Prime Care Pharmacy
• Prime Choice Home Health, LLC
• Prime Healthcare of Nevada LLC
• Prime Homecare Agency LLC
• Prime Hospitalists LLC
• Prime Medical Center LLC
• Prime Sports & Wellness Center LLC

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.