Individual provider Active NPI

Mary Anne Malig Cardenas, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073223368
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
858222 Issued in NV
Practice address
2020 Wellness Way
Las Vegas, NV 89106-4144
Phone
(702) 432-2233
NPI assigned
Nov 29, 2022
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 858222 NV Primary

Addresses

Primary practice location

2020 Wellness Way
Las Vegas, NV 89106-4144

Mailing address

1930 Village Center Cir Ste 3-717
Las Vegas, NV 89134-6299
Phone (702) 767-6114

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
I20230201000798 NV Practitioner - Nurse Practitioner 2466823323 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
Group practices
Janda Mahajan and Balsiger PLLCGroup PAC ID 7315257797, 32 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 300
Las Vegas, NV 89106-4145
Phone (702) 432-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janda, Mahajan & Balsiger PLLC CurrentSince Feb 13, 2023 Accepting new patients
Janda, Mahajan & Balsiger PLLC PastSince Dec 6, 2022 Accepting new patients

Locations

1930 Village Center Cir
Ste 3717
Las Vegas, NV 89134

2020 Wellness Way
Ste 300
Las Vegas, NV 89106
Phone (702) 477-7000

Interoperability endpoints

  • Direct secure messaging: maryannecardenas@lvnc.gwaydirect.com

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1073223368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 3-717",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-767-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064144",
            "telephone_number": "702-432-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MARY ANNE",
        "middle_name": "MALIG",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "858222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.