Individual provider Active NPI

Christopher M. Misa, NP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1164967162
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002417 Issued in NV
Practice address
8778 S Maryland Pkwy Ste 110
Las Vegas, NV 89123-6705
Phone
(725) 500-4645
Fax
(702) 442-0947
NPI assigned
Dec 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 APRN002417 NV Primary

Addresses

Primary practice location

8778 S Maryland Pkwy Ste 110
Las Vegas, NV 89123-6705

Mailing address

2477 Cingoli St
Henderson, NV 89044-1634

Other identifiers 1

IdentifierTypeStateIssuer
1164967162MedicaidNV

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
I20170124001688 NV Practitioner - Nurse Practitioner 1254613466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Star Primary Care LLCGroup PAC ID 4587087994, 3 clinicians

Practice addresses (Care Compare)

8778 S Maryland Pkwy
Suite 110
Las Vegas, NV 89123-6705
Phone (702) 756-6120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Medical Providers Family CurrentSince Jul 2, 2021 Accepting new patients
Tri-Star Primary Care LLC CurrentSince Dec 15, 2025 Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients

Locations

1489 W Warm Springs Rd
Ste 110
Henderson, NV 89014
Phone (702) 219-9583

8778 S Maryland Pkwy
Ste 110
Las Vegas, NV 89123
Phone (702) 756-6120

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1164967162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 CINGOLI ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8778 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236705",
            "telephone_number": "725-500-4645",
            "fax_number": "702-442-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISA",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-29",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164967162",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.