Individual provider Active NPI

Wynona Dizon-Ogurek

  • Family Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1033868260
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME174448 Issued in FL
Practice address
960 W Craig Rd
North Las Vegas, NV 89032-0241
Phone
(702) 790-8000
NPI assigned
Mar 23, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME174448 FL Primary

Addresses

Primary practice location

960 W Craig Rd
North Las Vegas, NV 89032-0241

Mailing address

960 W Craig Rd
North Las Vegas, NV 89032-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912000456 FL Practitioner - Family Practice 9335521020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincents Medical Center IncGroup PAC ID 0244144558, 17 clinicians

Practice addresses (Care Compare)

2627 Riverside Ave
Jacksonville, FL 32204-4712
Phone (904) 308-7372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Medical Center Inc CurrentSince Aug 13, 2025 Accepting new patients
St Vincents Medical Center Inc CurrentSince Aug 13, 2025 Accepting new patients

Locations

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

Interoperability endpoints

  • Direct secure messaging: wynona.dizon.1@12891.direct.athenahealth.com
  • Direct secure messaging: wynona.dizon.1@8967.direct.athenahealth.com
  • Direct secure messaging: wynona.franchesca.dizon.1@8967.direct.athenahealth.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, 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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1033868260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W CRAIG RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W CRAIG RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320241",
            "telephone_number": "702-790-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON-OGUREK",
        "first_name": "WYNONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME174448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.