Individual provider Active NPI

Ticey Rene Harris, APRN

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1093115461
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN001849 Issued in NV
Practice address
8930 W Sunset Rd Ste 350
Las Vegas, NV 89148-5042
Phone
(702) 703-4340
Fax
(702) 570-1403
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN001849 NV Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 350
Las Vegas, NV 89148-5042

Mailing address

PO Box 36830
Las Vegas, NV 89133-6830
Phone (702) 703-4340

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
I20150522001166 NV Practitioner - Nurse Practitioner 7810217353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians
Las Vegas Vascular and Interventional Specialists, LLCGroup PAC ID 1557651478, 14 clinicians

Practice addresses (Care Compare)

1250 S Valley View Blvd
Las Vegas, NV 89102-1855
Phone (702) 877-8898

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

8930 W Sunset Rd
Suite 350
Las Vegas, NV 89148-5042
Phone (702) 389-5360

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Vascular & Interventional Specialists, LLC CurrentSince Aug 1, 2025 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Sep 8, 2025 Accepting new patients
Heart and Vascular Centers of America CurrentSince Jul 31, 2023 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Heart and Vascular Centers of America, Inc. Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

980 Fulton Ave
Sacramento, CA 95825
Phone (530) 715-2900

8787 Complex Dr
Ste 210
San Diego, CA 92123

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

6160 W Lake Mead Blvd
Las Vegas, NV 89108
Phone (702) 209-3900

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

8930 W Sunset Rd
Ste 350
Las Vegas, NV 89148
Phone (702) 389-5360

Interoperability endpoints

  • Direct secure messaging: ticey.harris.p1@direct.nevadahealthcenters.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1093115461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830",
            "telephone_number": "702-703-4340",
            "fax_number": "702-570-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485042",
            "telephone_number": "702-703-4340",
            "fax_number": "702-570-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TICEY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "APRN001849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.