Individual provider Active NPI

Ailyn Gomez, F.N.P.

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1053877977
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
816652 Issued in NV
Practice address
3750 S. Jones Blvd.
Suite 120
Las Vegas, NV 89103-2209
Phone
(702) 434-8880
Fax
(702) 862-8880
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 816652 NV Primary

Addresses

Primary practice location

3750 S. Jones Blvd.
Suite 120
Las Vegas, NV 89103-2209

Mailing address

1013 Valley Light Ave
Henderson, NV 89011
Phone (702) 306-4591

Other names 1

  • Ailyn Marie Monakil Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190627000015 NV Practitioner - Nurse Practitioner 7810239050 Reassigns benefits to 3 organizations
I20200508002263 UT Practitioner - Nurse Practitioner 7810239050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
816652NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Wound Specialists LLC CurrentSince Oct 1, 2024 Accepting new patients
Arcadian LLC Nurse Practitioner CurrentSince Jan 11, 2025 Accepting new patients
Ming-Wei Wu, Inc CurrentSince May 11, 2019 Accepting new patients
Julie Wu, Inc Past Accepting new patients

Locations

5550 S Fort Apache Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 899-0100

4375 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 899-0100

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

5510 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 604-2498

5597 Spring Mountain Rd
Ste G
Las Vegas, NV 89146
Phone (702) 419-8394

1845 W 4400 S
Ste A
Roy, UT 84067

299 S Main St
Ste 1300
Salt Lake City, UT 84111
Phone (385) 202-3140

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1053877977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 VALLEY LIGHT AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89011",
            "telephone_number": "702-306-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S. JONES BLVD.",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032209",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "AILYN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "816652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILYN MARIE",
            "last_name": "HERNANDEZ",
            "middle_name": "MONAKIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.