Individual provider Active NPI

Aya Werra, APRN-CNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1093340770
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
828321 Issued in NV
Practice address
3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone
(702) 309-2311
Fax
(702) 309-2177
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 828321 NV Primary

Addresses

Primary practice location

3483 S Eastern Ave
Las Vegas, NV 89169-3314

Mailing address

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Other practice location 1

2931 N Tenaya Way Ste 206
Las Vegas, NV 89128-0458
Phone (023) 092-3117

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
I20200702001771 NV Practitioner - Nurse Practitioner 7416370788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ronald a Shockley MD a Professional CorporationGroup PAC ID 7810094976, 6 clinicians

Practice addresses (Care Compare)

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
57.16
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
828321NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald a Shockley MD a Professional Corporation Nurse Practitioner CurrentSince Aug 30, 2022 Accepting new patients

Locations

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

2931 N Tenaya Way
Ste 206
Las Vegas, NV 89128
Phone (702) 291-8511

3483 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 309-2311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBHDD/Endpoint/EHBHDD

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1093340770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 N Tenaya Way Ste 206",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280458",
            "country_code": "US",
            "telephone_number": "023-092-3117",
            "fax_number": "702-309-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERRA",
        "first_name": "AYA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "828321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.