Danielle Inez-Edralin Willer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

878895 Issued in NV

Practice address

1950 Pinto LN
Las Vegas, NV 89106-4017

Phone

(702) 438-2229

Fax

(702) 605-5031

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Tobias Former name

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women's Health Associates of Southern Nevada- Martin, PLLCGroup PAC ID 4082845664, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Women's Health Associates of Southern Nevada- Martin, PLLC

  dba Women's Health Associates of Southern Nevada

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
  • NPI 1598906166

  NV

  Medicare reassignment Care Compare group NPD
• Women's Health Associates of Southern Nevada- Martin, PLLC

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1649983362
  NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1124838024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064017",
            "telephone_number": "702-438-2229",
            "fax_number": "702-605-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7160 Smoke Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891283208",
            "country_code": "US",
            "telephone_number": "702-508-4096",
            "fax_number": "702-268-8179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLER",
        "first_name": "DANIELLE",
        "middle_name": "INEZ-EDRALIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "878895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "TOBIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Willardsen
• Shawna Willardsen
• Jermain Willburn
• Nicholas B Willden
• Cordelia Willecey
• Keilee Cheridyn Willer
• Lance Willes
• Jason Todd Willette, P.T.A.
• Tyler Willette
• Jennifer Willey

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.