Individual provider Active NPI

Amber Nichole Sarracino, APRN-CNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1013652874
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
854173 Issued in NV
Practice address
10351 Kadumba St
Las Vegas, NV 89178-8019
Phone
(505) 240-1265
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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 854173 NV Primary

Addresses

Primary practice location

10351 Kadumba St
Las Vegas, NV 89178-8019

Mailing address

10351 Kadumba St
Las Vegas, NV 89178-8019
Phone (505) 240-1265

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
I20220526002707 NV Practitioner - Nurse Practitioner 2668850959 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
854173NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince May 13, 2022 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

Interoperability endpoints

  • Direct secure messaging: amber.sarracino.1@32527.direct.athenahealth.com
  • Direct secure messaging: amber.sarracino.p5@direct.caremorewest.nextgenshare.com

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1013652874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 KADUMBA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788019",
            "telephone_number": "505-240-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 KADUMBA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788019",
            "telephone_number": "505-240-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRACINO",
        "first_name": "AMBER",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "854173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.