Individual provider Active NPI

Mariya Atanasova Kolibarova, NP

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1073484473
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
878965 Issued in NV
Practice address
4617 Swaying Ferns Dr
Las Vegas, NV 89147-8274
Phone
(970) 393-0196
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 878965 NV Primary

Addresses

Primary practice location

4617 Swaying Ferns Dr
Las Vegas, NV 89147-8274

Mailing address

4617 Swaying Ferns Dr
Las Vegas, NV 89147-8274

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
I20260304004426 NV Practitioner - Nurse Practitioner 4385126705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadian LLCGroup PAC ID 6305298860, 2 clinicians

Practice addresses (Care Compare)

4375 S Eastern Ave
Las Vegas, NV 89119-6000
Phone (702) 899-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
878965NVMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadian LLC CurrentSince Dec 16, 2025 Accepting new patients

Locations

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

5510 S Fort Apache Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 899-0100

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

Organizations & group practices 1

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1073484473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 SWAYING FERNS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 SWAYING FERNS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478274",
            "telephone_number": "970-393-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIBAROVA",
        "first_name": "MARIYA",
        "middle_name": "ATANASOVA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "878965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.