Individual provider Active NPI

Nyrene Genove, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1124848841
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
820238 Issued in NV
Practice address
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone
(702) 803-5534
Fax
(888) 977-1206
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 820238 NV Primary

Addresses

Primary practice location

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615

Mailing address

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534

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
I20241101001172 NV Practitioner - Nurse Practitioner 9234662958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naz Wahab MD PCGroup PAC ID 4082630512, 13 clinicians

Practice addresses (Care Compare)

6070 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Naz Wahab MD PC Family CurrentSince Nov 1, 2024 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

2851 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 309-4878

6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700

821 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 438-4003

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1124848841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534",
            "fax_number": "888-977-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534",
            "fax_number": "888-977-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVE",
        "first_name": "NYRENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "820238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.