Individual provider Active NPI

Marcella Pomeranz, BC-AGNP

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1174064083
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN002476 Issued in NV
Practice address
5440 W Sahara Ave
Suite 302
Las Vegas, NV 89146-0355
Phone
(702) 271-0934
Fax
(702) 633-0254
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN002476 NV Primary

Addresses

Primary practice location

5440 W Sahara Ave
Suite 302
Las Vegas, NV 89146-0355

Mailing address

5440 W Sahara Ave
Suite 302
Las Vegas, NV 89146-0355
Phone (702) 271-0934

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
I20170915003331 NV Practitioner - Nurse Practitioner 4183998032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Associates LLPGroup PAC ID 7810067741, 17 clinicians

Practice addresses (Care Compare)

2031 McDaniel St
Suite 140
N Las Vegas, NV 89030-6308
Phone (702) 633-0207

Merit-based Incentive Payment System (MIPS)

Final score
97.79 of 100Reported as group
Quality
79.17
Promoting interoperability
97
Improvement activities
40
Cost
84.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002476NVMDAdult Health Nurse Practitioner

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1174064083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460355",
            "telephone_number": "702-271-0934",
            "fax_number": "702-633-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460355",
            "telephone_number": "702-271-0934",
            "fax_number": "702-633-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANZ",
        "first_name": "MARCELLA",
        "credential": "BC-AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APRN002476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.