Individual provider Active NPI

Marchela Camile Mundell

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1013885797
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
834566 Issued in NV
Practice address
7201 W Lake Mead Blvd Ste 112
Las Vegas, NV 89128-8362
Phone
(702) 703-5160
NPI assigned
Oct 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 834566 NV Primary

Addresses

Primary practice location

7201 W Lake Mead Blvd Ste 112
Las Vegas, NV 89128-8362

Mailing address

7201 W Lake Mead Blvd Ste 112
Las Vegas, NV 89128-8362
Phone (702) 703-5160

Other practice location 1

1411 Falls Ave E Ste 1151A
Twin Falls, ID 83301-3455
Phone (208) 543-7995

Other practice location 2

11118 Moss Ln
Nampa, ID 83651-8015
Phone (208) 563-5910

Other practice location 3

5975 W Overland Rd
Boise, ID 83709-3012
Phone (208) 488-4998

Other practice location 4

1750 W McMillan Rd Ste 120
Meridian, ID 83646-6891
Phone (208) 900-4480

Other practice location 5

948 NE 102nd Ave Ste 103
Portland, OR 97220-4064
Phone (503) 825-8820

Other practice location 6

916 W Ironwood Dr Ste Ul1
Coeur D Alene, ID 83814-2642
Phone (208) 577-5380

Other practice location 7

5875 S Rainbow Blvd Ste 203
Las Vegas, NV 89118-2556
Phone (702) 820-5830

Other practice location 8

1865 Plumas St Ste 4
Reno, NV 89509-3386
Phone (775) 218-9020

Other practice location 9

920 Country Club Rd Ste 230B
Eugene, OR 97401-6084
Phone (541) 434-4401

Other practice location 10

3423 Merlin Dr
Idaho Falls, ID 83404-7430
Phone (208) 217-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251231003896 ID Practitioner - Nurse Practitioner 0840786539 Reassigns benefits to 1 organization
I20260623002197 OR Practitioner - Nurse Practitioner 0840786539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1856 W 800
Farmington, UT 84025-2788

4179 S Riverboat Rd
Suite 220
Taylorsville, UT 84123-2986

75 W Towne Ridge Pkwy
Sandy, UT 84070-5523

75 W Towne Ridge Pkwy
Tower 2 Suite 500
Sandy, UT 84070-5528

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
834566NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Infusion of Oregon LLC CurrentSince Jun 1, 2026 Accepting new patients
Pure Healthcare of Idaho LLC CurrentSince Dec 1, 2025 Accepting new patients
Pure Healthcare of Oregon LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

5975 W Overland Rd
Boise, ID 83709
Phone (208) 488-4998

916 W Ironwood Dr
Ste UL1
Coeur D Alene, ID 83814
Phone (208) 488-4998

3423 Merlin Dr
Idaho Falls, ID 83404
Phone (208) 217-9099

1750 W McMillan Rd
Ste 120
Meridian, ID 83646
Phone (208) 900-4480

11118 Moss Ln
Nampa, ID 83651
Phone (208) 563-5910

1411 Falls Ave E
Ste 1151A
Twin Falls, ID 83301
Phone (208) 543-7995

920 Country Club Rd
Ste 230B
Eugene, OR 97401
Phone (541) 434-4401

948 NE 102nd Ave
Ste 103
Portland, OR 97220
Phone (503) 257-8886

4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267

Organizations & group practices 3

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": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1013885797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 W LAKE MEAD BLVD STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288362",
            "telephone_number": "702-703-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 W LAKE MEAD BLVD STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288362",
            "telephone_number": "702-703-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Falls Ave E Ste 1151A",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013455",
            "country_code": "US",
            "telephone_number": "208-543-7995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11118 Moss Ln",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836518015",
            "country_code": "US",
            "telephone_number": "208-563-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5975 W Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837093012",
            "country_code": "US",
            "telephone_number": "208-488-4998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 W McMillan Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836466891",
            "country_code": "US",
            "telephone_number": "208-900-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "948 NE 102nd Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972204064",
            "country_code": "US",
            "telephone_number": "503-825-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 W Ironwood Dr Ste Ul1",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142642",
            "country_code": "US",
            "telephone_number": "208-577-5380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5875 S Rainbow Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182556",
            "country_code": "US",
            "telephone_number": "702-820-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Plumas St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895093386",
            "country_code": "US",
            "telephone_number": "775-218-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Country Club Rd Ste 230B",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016084",
            "country_code": "US",
            "telephone_number": "541-434-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3423 Merlin Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047430",
            "country_code": "US",
            "telephone_number": "208-217-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDELL",
        "first_name": "MARCHELA",
        "middle_name": "CAMILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-25",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "834566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.