Individual provider Active NPI

Lauren Victoria Bedrock, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1093398190
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020147239 Issued in NV
Practice address
2540 W Horizon Ridge Pkwy
Las Vegas, NV 89052
Phone
(702) 385-7001
NPI assigned
May 5, 2021
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020147239 NV Primary

Addresses

Primary practice location

2540 W Horizon Ridge Pkwy
Las Vegas, NV 89052

Mailing address

7017 S Buffalo Dr Apt 2215
Las Vegas, NV 89113-4103
Phone (702) 460-4435

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
I20210616002822 NV Practitioner - Nurse Practitioner 5698175321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gautham Gummadi Reddy MD LimitedGroup PAC ID 1759375074, 6 clinicians
Hailstone Family Practice PLLCGroup PAC ID 5092243238, 3 clinicians

Practice addresses (Care Compare)

2540 W Horizon Ridge Pkwy
Henderson, NV 89052-5616
Phone (702) 385-7001

9065 S Pecos Rd
Suite 190
Henderson, NV 89074-6605
Phone (725) 290-5047

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as apm
Quality
85.1
Promoting interoperability
88.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020147239NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hailstone Family Practice PLLC CurrentSince Mar 2, 2026 Accepting new patients
Gautham Gummadi Reddy MD Limited CurrentSince May 10, 2021 Accepting new patients
Sonu R Bhatia MD PC PastSince May 9, 2021 Accepting new patients

Locations

2540 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 385-7001

9065 S Pecos Rd
Ste 190
Henderson, NV 89074
Phone (702) 888-3148

Interoperability endpoints

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

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1093398190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 S BUFFALO DR APT 2215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134103",
            "telephone_number": "702-460-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W HORIZON RIDGE PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-385-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDROCK",
        "first_name": "LAUREN",
        "middle_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "2020147239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.