Active NPI
Enrico Estrella, NP
- Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN001948
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95002022 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Power Medical Center LLC | Current | Accepting new patients | |
| Yang Medical Services, PLLC | Current | Accepting new patients | |
| Brain Power Medical Center LLC | Current | Accepting new patients | |
| Mind Power Behavioral Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Oluyemisi Olayinka Adedotun | Past | 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.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- General Practice Physician
- Las Vegas, NV
- NPI 1265109011
-
dba Mind Power Medical Group
- General Practice Physician
- Las Vegas, NV
- NPI 1851871768
Nurse Practitioner
-
dba Clark County Treatment and Rehab Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Las Vegas, NV
- NPI 1578261509
-
dba Psychiatric Solutions Clinic
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1780059352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.