Individual provider Active NPI

Marie Angeline Songco Lim, FNP-C

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1033897541
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
867244 Issued in NV
Practice address
229 N Pecos Rd Ste 100
Henderson, NV 89074-7364
Phone
(702) 605-5750
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 867244 NV Primary

Addresses

Primary practice location

229 N Pecos Rd Ste 100
Henderson, NV 89074-7364

Mailing address

229 N Pecos Rd Ste 100
Henderson, NV 89074-7364
Phone (702) 605-5750

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
I20230830003430 NV Practitioner - Nurse Practitioner 5597128033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6930 S Cimarron Rd
Suite 260
Las Vegas, NV 89113-2135
Phone (702) 476-9700

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as individual
Quality
51.02
Improvement activities
40
Cost
72.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
867244NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Wellness and Pain Care of Las Vegas Inc CurrentSince Jul 26, 2023 Accepting new patients
Center for Wellness and Pain Care of Las Vegas, Inc. CurrentSince Jul 26, 2023 Accepting new patients

Locations

8915 S Pecos Rd
Ste 19A
Henderson, NV 89074
Phone (702) 341-9000

1701 N Green Valley Pkwy
Ste 7B
Henderson, NV 89074
Phone (702) 476-9700

401 N Buffalo Dr
Ste 202
Las Vegas, NV 89145
Phone (702) 476-9700

6930 S Cimarron Rd
Ste 260
Las Vegas, NV 89113
Phone (702) 476-9700

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1033897541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-605-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-605-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MARIE ANGELINE",
        "middle_name": "SONGCO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "867244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.