Individual provider Active NPI

Ruel Mariano, NP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1114481785
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
816895 Issued in NV
Practice address
3750 S Jones Blvd Ste 100
Las Vegas, NV 89103-2209
Phone
(702) 444-7744
Fax
(702) 444-7898
NPI assigned
Jan 28, 2019
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 816895 NV Primary

Addresses

Primary practice location

3750 S Jones Blvd Ste 100
Las Vegas, NV 89103-2209

Mailing address

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300

Other practice location 1

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300

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
I20190327001362 NV Practitioner - Nurse Practitioner 3476893504 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RL Mobile Medical Group LLCGroup PAC ID 1254780570, 2 clinicians

Practice addresses (Care Compare)

6655 W Sahara Ave
Suite D110
Las Vegas, NV 89146-0846
Phone (702) 767-5177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
48.51

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
86.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Medical Group PC CurrentSince Dec 1, 2021 Accepting new patients
Eddiepmd Inc CurrentSince Nov 3, 2023 Accepting new patients
RL Mobile Medical Group LLC CurrentSince Feb 24, 2025 Accepting new patients
Well Care Medical Group of North Las Vegas Incorporated CurrentSince Nov 12, 2024 Accepting new patients
Primary Care Providers of Southern Nevada LLC Primary Care CurrentSince Sep 1, 2023 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Jan 13, 2019 Accepting new patients
Homer C Tuazon LLC CurrentSince Jan 28, 2019 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jan 13, 2019 Accepting new patients
Jam Healthcare Inc CurrentSince Apr 17, 2023 Accepting new patients

Locations

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

2801 S Valley View Blvd
Ste 4
Las Vegas, NV 89102
Phone (702) 780-6768

3130 S Rainbow Blvd
Ste 301
Las Vegas, NV 89146
Phone (702) 262-0110

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

3750 S Jones Blvd
Ste 100
Las Vegas, NV 89103
Phone (702) 444-7744

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406

601 S Rancho Dr
Ste A6
Las Vegas, NV 89106
Phone (702) 386-0909

6330 W Flamingo Rd
Unit 107
Las Vegas, NV 89103
Phone (725) 577-9018

6565 Spencer St
Ste 102
Las Vegas, NV 89119
Phone (702) 764-4868

6655 W Sahara Ave
Ste D110
Las Vegas, NV 89146
Phone (702) 365-0600

7150 W Sunset Rd
Ste 110
Las Vegas, NV 89113
Phone (702) 703-2526

801 S Rancho Dr
Ste A3
Las Vegas, NV 89106
Phone (702) 386-0909

840 S Rancho Dr
Ste 4338
Las Vegas, NV 89106

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

4624 S Holladay Blvd
Ste 201
Slc, UT 84117
Phone (385) 234-4785

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1114481785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021829",
            "telephone_number": "702-971-2300",
            "fax_number": "702-903-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032209",
            "telephone_number": "702-444-7744",
            "fax_number": "702-444-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021829",
            "country_code": "US",
            "telephone_number": "702-971-2300",
            "fax_number": "702-903-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "RUEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "816895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.