Emilsis Ruiz Mederos, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

818593 Issued in NV

Practice address

9804 Cornwall Crossing LN
Las Vegas, NV 89147-7706

Phone

(702) 772-7715

Fax

(702) 722-3752

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chavez and Mederos LLCGroup PAC ID 8224480934, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

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.

• Chavez & Mederos LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1215717541
  Medicare reassignment Care Compare group NPD
• Las Vegas Pain Institute and Medical Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1659431443
  Medicare reassignment NPD
• Spring Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1154481984
  NPD
• Comprehensive Urgent Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1578478673
  NPD (past)

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1114634458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 W FLAMINGO RD APT 132",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478676",
            "telephone_number": "702-772-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 CORNWALL CROSSING LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477706",
            "telephone_number": "702-772-7715",
            "fax_number": "702-722-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ MEDEROS",
        "first_name": "EMILSIS",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Ruiz Echevarria
• Magalys Bertram Ruiz Garcia
• Arian Ruiz Gonzalez
• Guadalupe Ruiz Gutierrez
• Osdel Lazaro Ruiz Martinez
• Marisol Ruiz Mena
• Antonio Ruiz Pelfort
• Isaac Ruiz Perez
• Yuneisy Ruiz Ruiz
• Marisol Ruiz Soto

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, 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 Sep 12, 2024; 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.

Verify at the official NPI Registry.