Individual provider Active NPI

Stephanie Celeste Weltha, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104304856
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
811230 Issued in NV
Practice address
3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone
(702) 880-4193
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 811230 NV Primary

Addresses

Primary practice location

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283

Mailing address

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone (702) 880-4193

Other practice location 1

3000 W Charleston Blvd Ste 1
Las Vegas, NV 89102-1981
Phone (877) 755-8030

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
I20181207000303 NV Practitioner - Nurse Practitioner 8921342643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Medical Group LLCGroup PAC ID 2860806890, 2 clinicians

Practice addresses (Care Compare)

4955 S Durango Dr
Suite 164
Las Vegas, NV 89113-0154
Phone (702) 664-9520

Hospital & facility affiliations

  • Critical Care Visiting Nurses Home health agency, Las Vegas, NV, CCN 297128
  • Acre Health Services, LLC Home health agency, Las Vegas, NV, CCN 297240
  • Assured Home Health Agency Home health agency, Las Vegas, NV, CCN 297243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Absolute Medical Group LLC CurrentSince Jan 4, 2021 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

4955 S Durango Dr
Ste 164
Las Vegas, NV 89113
Phone (702) 664-9520

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1104304856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-880-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 W Charleston Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021981",
            "country_code": "US",
            "telephone_number": "877-755-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELTHA",
        "first_name": "STEPHANIE",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "811230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.