Individual provider Active NPI

Irene Nelson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073364865
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
846041 Issued in NV
Practice address
3120 S Rainbow Blvd Ste 201
Las Vegas, NV 89146-6235
Phone
(702) 749-3110
Fax
(702) 793-2901
NPI assigned
Mar 29, 2024
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 846041 NV Primary

Addresses

Primary practice location

3120 S Rainbow Blvd Ste 201
Las Vegas, NV 89146-6235

Mailing address

10424 Beautiful Fruit St
Las Vegas, NV 89183-5222
Phone (505) 610-2319

Other practice location 1

10161 Park Run Dr
Las Vegas, NV 89145-8871
Phone (505) 610-2319

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
I20240911001034 NV Practitioner - Nurse Practitioner 8921548405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene Path WellnessGroup PAC ID 6709318561, 3 clinicians

Practice addresses (Care Compare)

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8872
Phone (702) 612-5566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
846041NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Path Wellness Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Bell Behavioral Health Psychiatric/Mental Health Current Accepting new patients

Locations

10161 Park Run Dr
Ste 150
Las Vegas, NV 89145
Phone (408) 833-3158

3120 S Rainbow Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 233-4327

6130 W Flamingo Rd
Las Vegas, NV 89103
Phone (702) 610-3887

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": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1073364865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 BEAUTIFUL FRUIT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835222",
            "telephone_number": "505-610-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S RAINBOW BLVD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466235",
            "telephone_number": "702-749-3110",
            "fax_number": "702-793-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10161 Park Run Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891458871",
            "country_code": "US",
            "telephone_number": "505-610-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "IRENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "846041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.