Individual provider Active NPI

Bryce Pacheco, APRN-BC

  • Acute Care Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1033846092
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
857051 Issued in NV
Practice address
715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone
(702) 483-6200
NPI assigned
Aug 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 857051 NV Primary

Addresses

Primary practice location

715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667

Mailing address

8517 Arco Iris LN
Las Vegas, NV 89128-7952
Phone (702) 501-2076

Other practice location 1

657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000

Other practice location 2

2075 E Flamingo Rd
Las Vegas, NV 89119-5188
Phone (702) 733-8800

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
I20221006001576 NV Practitioner - Nurse Practitioner 2769868231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eid Nevada Critical Care PLLCGroup PAC ID 9537357793, 62 clinicians

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eid Nevada Critical Care PLLC CurrentSince Aug 15, 2023 Accepting new patients
Sound Intensivists of Nevada Rbessler MD PLLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
Ste 1
Pasadena, CA 91199

1801 W Olympic Blvd
#1270
Pasadena, CA 91199

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

653 N Town Center Dr
Ste 202
Las Vegas, NV 89144
Phone (702) 233-6694

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1033846092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 ARCO IRIS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287952",
            "telephone_number": "702-501-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146667",
            "telephone_number": "702-483-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "657 N Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446367",
            "country_code": "US",
            "telephone_number": "702-233-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2075 E Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195188",
            "country_code": "US",
            "telephone_number": "702-733-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "BRYCE",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "857051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.