Individual provider Active NPI

Bonnie Sue Betts, NP

  • Women's Health Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1083852206
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
811300 Issued in NV
Practice address
1815 E Lake Mead Blvd Ste 215
North Las Vegas, NV 89030-7190
Phone
(702) 818-1919
Fax
(702) 399-5499
NPI assigned
Jan 26, 2009
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 811300 NV Primary
Women's Health Nurse Practitioner 363LW0102X 15404 CA

Addresses

Primary practice location

1815 E Lake Mead Blvd Ste 215
North Las Vegas, NV 89030-7190

Mailing address

1815 E Lake Mead Blvd Ste 215
North Las Vegas, NV 89030-7190
Phone (702) 818-1919

Other identifiers 2

IdentifierTypeStateIssuer
811300OtherNVAPRN-CNP LICENSE
442981OtherCARN LICENSE

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
I20201201001922 NV Practitioner - Nurse Practitioner 0749691491 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Medical Nevada Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Nader Y. Abdelsayed, M.D., Professional Corporation CurrentSince Dec 8, 2025 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406

5412 Boulder Hwy
Ste B6
Las Vegas, NV 89122

1815 E Lake Mead Blvd
Ste 215
North Las Vegas, NV 89030
Phone (702) 450-5900

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Interoperability endpoints

  • Direct secure messaging: bbetts@medtransreno.adaptamed.direct-ci.com

Organizations & group practices 3

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1083852206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 215",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307190",
            "telephone_number": "702-818-1919",
            "fax_number": "702-399-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 215",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307190",
            "telephone_number": "702-818-1919",
            "fax_number": "702-399-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "811300",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "15404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP LICENSE",
            "identifier": "811300",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "442981",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.