McGinnis Mica Medical PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001078 Issued in NV

Legal business name

MCGINNIS MICA MEDICAL PC

Practice address

1550 W Elliott Ave
# 300
Beatty, NV 89003-0300

Phone

(702) 706-4362

Fax

(877) 991-6606

NPI assigned

Aug 19, 2015

Last updated

Dec 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diane M McGinnis, DNP, APRN, FNP-CNPI 1437489119

Title

President

Phone

(702) 706-4362

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane M McGinnis, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Beatty, NV
  • NPI 1437489119
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1114393568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "BEATTY",
            "state": "NV",
            "postal_code": "890030300",
            "telephone_number": "702-706-4362",
            "fax_number": "877-991-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W ELLIOTT AVE",
            "address_2": "# 300",
            "city": "BEATTY",
            "state": "NV",
            "postal_code": "890030300",
            "telephone_number": "702-706-4362",
            "fax_number": "877-991-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGINNIS MICA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-706-4362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114393568",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatty Medical Clinic LLC
• Wanda Bernhardt, LMT
• Paul Carr
• Hometown Healthcare LLC
• Diane M McGinnis, DNP, APRN, FNP-C
• Nevada Health Centers Inc (Beatty Medical Clinic)
• Nevada Health Centers, Inc. (Beatty Medical Clinic)
• Primecare Nevada Inc. (Nye Regional Medical Center)
• Veni-Express Inc

• Family Nurse Practitioner in Beatty, NV
• Providers in Beatty, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.