Individual provider Active NPI

Nicole Renee Phillips, APRN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1154885150
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
816584 Issued in NV
Practice address
9794 Turtle Head CT
Las Vegas, NV 89117-8437
Phone
(702) 850-1442
Fax
(702) 745-0881
NPI assigned
Jan 24, 2019
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 816584 NV Primary
Gerontology Nurse Practitioner 363LG0600X 816584 NV
Primary Care Nurse Practitioner 363LP2300X 816584 NV

Addresses

Primary practice location

9794 Turtle Head CT
Las Vegas, NV 89117-8437

Mailing address

9794 Turtle Head CT
Las Vegas, NV 89117-8437
Phone (702) 850-1442

Other practice location 1

5785 Centennial Center Blvd Ste 160
Las Vegas, NV 89149-7131
Phone (725) 213-4424

Other practice location 2

10595 Discovery Dr Ste 4
Las Vegas, NV 89135-3057
Phone (702) 640-0453

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
I20210222002161 NV Practitioner - Nurse Practitioner 6800137357 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (702) 850-1442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
816584NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Health PLLC Adult Health CurrentSince Oct 22, 2023 Accepting new patients
Premier House Calls, LLC Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Sharon E Ruch MD PLLC PastSince Oct 1, 2023 Accepting new patients
Physicians Medical Center Kaufman, LTD PastSince Feb 1, 2021 Accepting new patients

Locations

3459 Saint Rose Pkwy
Ste 120411
Henderson, NV 89052
Phone (702) 850-1442

5785 Centennial Center Blvd
Ste 160
Las Vegas, NV 89149
Phone (702) 850-1442

6720 Via Austi Pkwy
Ste 250
Las Vegas, NV 89119
Phone (702) 463-4050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1154885150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9794 TURTLE HEAD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178437",
            "telephone_number": "702-850-1442",
            "fax_number": "702-745-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9794 TURTLE HEAD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178437",
            "telephone_number": "702-850-1442",
            "fax_number": "702-745-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5785 Centennial Center Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891497131",
            "country_code": "US",
            "telephone_number": "725-213-4424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10595 Discovery Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891353057",
            "country_code": "US",
            "telephone_number": "702-640-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "816584",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "816584",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "816584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.