Individual provider Active NPI

Nicole Anne Nelson, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104354810
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002489 Issued in NV
Practice address
376 E Warm Springs Rd Ste 110
Las Vegas, NV 89119-4241
Phone
(702) 848-4443
NPI assigned
May 24, 2017
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 APRN002489 NV Primary

Addresses

Primary practice location

376 E Warm Springs Rd Ste 110
Las Vegas, NV 89119-4241

Mailing address

2717 Sidonia Ave
Las Vegas, NV 89102-4262
Phone (702) 569-3068

Other practice location 1

2600 Vegas Dr
Las Vegas, NV 89106-1606
Phone (702) 569-3068

Other practice location 2

5875 S Rainbow Blvd Ste 203
Las Vegas, NV 89118-2556
Phone (702) 820-5930

Other practice location 3

1865 Plumas St Ste 4
Reno, NV 89509-3386
Phone (775) 218-9020

Other practice location 4

7201 W Lake Mead Blvd Ste 112
Las Vegas, NV 89128-8362
Phone (702) 703-5160

Other names 1

  • Ms. Nicole Anne Miskiewicz-Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180226002797 NV Practitioner - Nurse Practitioner 9335400886
I20230530001576 MN Practitioner - Nurse Practitioner 9335400886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
63.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN002489NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC Past Accepting new patients

Organizations & group practices 2

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1104354810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 SIDONIA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024262",
            "telephone_number": "702-569-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E WARM SPRINGS RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194241",
            "telephone_number": "702-848-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Vegas Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891061606",
            "country_code": "US",
            "telephone_number": "702-569-3068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5875 S Rainbow Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182556",
            "country_code": "US",
            "telephone_number": "702-820-5930",
            "fax_number": "702-922-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Plumas St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895093386",
            "country_code": "US",
            "telephone_number": "775-218-9020",
            "fax_number": "775-201-1692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 W Lake Mead Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288362",
            "country_code": "US",
            "telephone_number": "702-703-5160",
            "fax_number": "702-946-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MISKIEWICZ-NELSON",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.