Active NPI
Amber Wieseckel
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1053122275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 830797
- Practice address
- 3425 Cliff Shadows Pkwy Ste 250
Las Vegas, NV 89129-5112 - Phone
- (702) 382-1599
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 830797 | NV | Primary |
Addresses
Primary practice location
3425 Cliff Shadows Pkwy Ste 250
Las Vegas, NV 89129-5112
Mailing address
10616 Capitol Peak Ave
Las Vegas, NV 89166-5033
Phone (702) 741-0909
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830797 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molin PLLC | Current | Accepting new patients |
Locations
3425 Cliff Shadows Pkwy
Ste 250
Las Vegas, NV 89129
Phone (702) 382-1599
Interoperability endpoints
- amber.wieseckel.1@31667.direct.athenahealth.com
Organizations & group practices 1
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": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1053122275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10616 CAPITOL PEAK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891665033",
"telephone_number": "702-741-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 CLIFF SHADOWS PKWY STE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891295112",
"telephone_number": "702-382-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESECKEL",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "830797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.