Individual provider Active NPI

Rochelle Domingo, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1114332137
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0413152 Issued in NV
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

Updated by the provider on Jul 20, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 1557651478, 14 clinicians

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 Hospital, North Las Vegas, NV, CCN 290005

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
100
Improvement activities
40
Cost
58.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0413152NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Vascular & Interventional Specialists, LLC CurrentSince Sep 10, 2023 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.

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

Verify at the official NPI Registry.