Active NPI
Nicole Beltran, NP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 882636
- Practice address
- 2650 N Tenaya Way Ste 201
Las Vegas, NV 89128-1110 - Phone
- (702) 968-7212
- NPI assigned
- May 10, 2018
- Last updated
- Jun 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.017607 | IL | |
| Family Nurse Practitioner | 363LF0000X | 882636 | NV | Primary |
Addresses
Primary practice location
2650 N Tenaya Way Ste 201
Las Vegas, NV 89128-1110
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 775-0030
Other practice location 2
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 775-0030
Other practice location 3
1800 Hollister Dr Ste 112
Libertyville, IL 60048-5265
Phone (847) 367-6781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882636 | Other | NV | STATE LICENSE |
| 1114417615 | Medicaid | NV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbeltran337657@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 735-7154
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017607 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients |
Locations
2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- nbeltran337657@direct.myadvocateaurora.org
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.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Illinois Masonic Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1114417615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 N TENAYA WAY STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281110",
"telephone_number": "702-968-7212"
}
],
"practiceLocations": [
{
"address_1": "2361 Paysphere Cir",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60674",
"country_code": "US",
"telephone_number": "847-775-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2520 Elisha Ave",
"address_purpose": "LOCATION",
"city": "Zion",
"state": "IL",
"postal_code": "600992676",
"country_code": "US",
"telephone_number": "847-775-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Hollister Dr Ste 112",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600485265",
"country_code": "US",
"telephone_number": "847-367-6781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELTRAN",
"first_name": "NICOLE",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.017607",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "882636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "882636",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114417615",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbeltran337657@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "1800 Hollister Dr Ste 112",
"city": "Libertyville",
"state": "IL",
"country_code": "US",
"postal_code": "600485265",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1800 Hollister Dr Ste 112",
"city": "Libertyville",
"state": "IL",
"country_code": "US",
"postal_code": "600485265",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 24, 2025; 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.