Individual provider Active NPI

Karen Mae Valera Balko

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1164245874
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
886083 Issued in NV
Practice address
4360 Blue Diamond Rd Ste 103
Las Vegas, NV 89139-7785
Phone
(702) 407-0524
NPI assigned
Nov 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN89025 NV
Nurse Practitioner 363L00000X 886083 NV Primary

Addresses

Primary practice location

4360 Blue Diamond Rd Ste 103
Las Vegas, NV 89139-7785

Mailing address

6771 Sharks Bay CT
Las Vegas, NV 89149-5193
Phone (702) 583-1593

Other practice location 1

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 583-1593

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
I20250407001845 NV Practitioner - Nurse Practitioner 3375067812 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
Carefirst Urgent Care LLCGroup PAC ID 3779901939, 20 clinicians

Practice addresses (Care Compare)

4360 Blue Diamond Rd
Suite 103
Las Vegas, NV 89139-7785
Phone (513) 847-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN89025NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carefirst Urgent Care, LLC CurrentSince Mar 24, 2025 Accepting new patients
CG Medical Associates Inc Past Accepting new patients
Clinic 21 of Nevada Zyniewicz PLLC PastSince Sep 1, 2015 Accepting new patients

Locations

4360 Blue Diamond Rd
Ste 103
Las Vegas, NV 89139
Phone (702) 407-0524

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 3

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": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1164245874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 SHARKS BAY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891495193",
            "telephone_number": "702-583-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 BLUE DIAMOND RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397785",
            "telephone_number": "702-407-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280436",
            "country_code": "US",
            "telephone_number": "702-583-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALKO",
        "first_name": "KAREN MAE",
        "middle_name": "VALERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN89025",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "886083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.