Reynard Nivera, MSN, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

826829 Issued in NV

Practice address

2350 Corporate Cir Ste 202
Henderson, NV 89074-7737

Phone

(702) 948-1135

Fax

(702) 852-9401

NPI assigned

May 27, 2015

Last updated

Aug 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diola Elite Wound Care PLLCGroup PAC ID 1052823101, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Diola Elite Wound Care PLLC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1912704586
  Medicare reassignment Care Compare group NPD
• Minghsun Liu MD PC

  dba Woundtech of Nevada

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1982002283
  Medicare reassignment

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1053790782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 CORPORATE CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747737",
            "telephone_number": "702-948-1135",
            "fax_number": "702-852-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6240 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493943",
            "country_code": "US",
            "telephone_number": "954-923-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 Waialae Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968165319",
            "country_code": "US",
            "telephone_number": "808-732-0782 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10043 White Mulberry Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481781",
            "country_code": "US",
            "telephone_number": "808-306-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902122",
            "country_code": "US",
            "telephone_number": "435-688-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIVERA",
        "first_name": "REYNARD",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1830",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "14304338-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "826829",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "826829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053790782",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "826829",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Wilford Nisson, DDS
• Earl Niswonger
• Nitin J. Engineer MD Plastic Surgery PLLC (Engineered Aesthetics)
• Nitin J. Engineer, MD, LTD (Extremicure Hand Center)
• Julius Nitollama
• Donald Nixon
• NK & Ai Enterprises LLP (A Modern Medicine)
• Gifty Nkansah
• Nkdhc Rudnitsky PLLC (Nkdhc, PLLC)
• Yvonne Nkwen-Tamo

• Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.