Active NPI
Rochelle Domingo, NP
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F0413152
- Practice address
- 9460 W Flamingo Rd
Ste. 120
Las Vegas, NV 89147 - Phone
- (702) 324-4945
- NPI assigned
- Jun 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F0413152 | NV | Primary |
Addresses
Primary practice location
9460 W Flamingo Rd
Ste. 120
Las Vegas, NV 89147
Mailing address
8285 W Arby Ave Ste 165
Las Vegas, NV 89113-2239
Phone (702) 321-1513
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140721002211 | NV | Practitioner - Nurse Practitioner | 8921224353 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Las Vegas Vascular and Interventional Specialists, LLC
Practice addresses (Care Compare)
8930 W Sunset Rd
Suite 350
Las Vegas, NV 89148-5042
Phone (702) 389-5360
Hospital & facility affiliations
- North Vista Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.64 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 58.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0413152 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Vascular & Interventional Specialists, LLC | Current | Accepting new patients |
Locations
8930 W Sunset Rd
Ste 350
Las Vegas, NV 89148
Phone (702) 389-5360
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.
-
- Vascular & Interventional Radiology Physician
- Las Vegas, NV
- NPI 1508210972
NV
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": "1403913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1114332137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8285 W ARBY AVE STE 165",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132239",
"telephone_number": "702-321-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9460 W FLAMINGO RD",
"address_2": "STE. 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89147",
"telephone_number": "702-324-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO",
"first_name": "ROCHELLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-28",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "F0413152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.