Individual provider Active NPI

Enrico Estrella, NP

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1033506498
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001948 Issued in NV
Practice address
10652 S Eastern Ave
Suite a
Henderson, NV 89052-4952
Phone
(702) 476-2800
Fax
(702) 476-2040
NPI assigned
Apr 22, 2015
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002022 CA
Nurse Practitioner 363L00000X APRN001948 NV Primary
Registered Nurse 163W00000X RN82977 NV

Addresses

Primary practice location

10652 S Eastern Ave
Suite a
Henderson, NV 89052-4952

Mailing address

PO Box 743752
Atlanta, GA 30374-3752
Phone (702) 476-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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
I20150928002793 NV Practitioner - Nurse Practitioner 8527376334 Reassigns benefits to 3 organizations
I20221102002473 CA Practitioner - Nurse Practitioner 8527376334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11806 Whittier Blvd
Suite Aandb
Whittier, CA 90601-4622
Phone (562) 539-2517

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

2010 E Carson St
Long Beach, CA 90807-3040
Phone (562) 424-5450

555 E Ocean Blvd
Suite 110
Long Beach, CA 90802-5084
Phone (562) 285-5050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002022CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Power Medical Center LLC CurrentSince Nov 17, 2021 Accepting new patients
Yang Medical Services, PLLC CurrentSince Sep 13, 2021 Accepting new patients
Brain Power Medical Center LLC CurrentSince Nov 17, 2021 Accepting new patients
Mind Power Behavioral Services LLC Nurse Practitioner CurrentSince Nov 17, 2021 Accepting new patients
Oluyemisi Olayinka Adedotun PastSince Jan 19, 2020 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345

4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1033506498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743752",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743752",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 S EASTERN AVE",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524952",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "ENRICO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002022",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001948",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN82977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.