Individual provider Active NPI

Casey Ogura Yanos, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1053148627
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
817590 Issued in NV
Practice address
4212 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone
(702) 312-2233
NPI assigned
Sep 18, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 817590 NV Primary

Addresses

Primary practice location

4212 W Charleston Blvd
Las Vegas, NV 89102-1625

Mailing address

11250 Formosa Springs CT
Las Vegas, NV 89183-5127
Phone (808) 375-7353

Other names 1

  • Casey Ventura Ogura Former name

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
I20260224002790 NV Practitioner - Nurse Practitioner 4385125772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11250 Formosa Springs CT
Las Vegas, NV 89183-5127

3003 Hwy 95
Suite 100
Bullhead City, AZ 86442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
817590NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohave Arthritis Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Sep 1, 2024 Accepting new patients

Locations

8905 S Pecos Rd
Ste 23A
Henderson, NV 89074
Phone (702) 734-8311

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1053148627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 FORMOSA SPRINGS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835127",
            "telephone_number": "808-375-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021625",
            "telephone_number": "702-312-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOS",
        "first_name": "CASEY",
        "middle_name": "OGURA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "817590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "OGURA",
            "middle_name": "VENTURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.