Individual provider Active NPI

Janice Ann Aguinaldo, ARNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1174992085
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002033 Issued in NV
Practice address
653 N Town Center Dr Ste 106
Las Vegas, NV 89144-0515
Phone
(702) 844-4842
Fax
(702) 844-4845
NPI assigned
Sep 21, 2015
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 APRN002033 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 106
Las Vegas, NV 89144-0515

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other practice location 1

2590 Nature Park Dr Ste 135
North Las Vegas, NV 89084-3187
Phone (702) 636-2843

Other identifiers 2

IdentifierTypeStateIssuer
1174992085MedicaidNV
APRN002033OtherNVNV LICENSE

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
I20150930001637 NV Practitioner - Nurse Practitioner 9436467180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

2831 Business Park CT
Suite a
Las Vegas, NV 89128-9007
Phone (702) 844-4848

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Nurse Practitioner CurrentSince Jun 12, 2023 Accepting new patients
Wolfson & Wolfson LLP CurrentSince Apr 14, 2018 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Oct 19, 2015 Accepting new patients
P3 Health Partners Professional Services PC Nurse Practitioner Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

1500 W Sunset Rd
#100120
Henderson, NV 89014
Phone (702) 888-3126

1500 W Sunset Rd
Ste 100120
Henderson, NV 89014
Phone (702) 888-3126

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

880 Seven Hills Dr
Ste 140
Henderson, NV 89052
Phone (702) 844-4840

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

2655 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 363-9900

2831 Business Park Ct
Ste A
Las Vegas, NV 89128
Phone (702) 844-4848

348 N Nellis Blvd
Ste F
Las Vegas, NV 89110
Phone (702) 910-3950

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811

653 N Town Center Dr
Ste 106
Las Vegas, NV 89144
Phone (702) 363-3000

6803 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 452-2525

921 Las Vegas Blvd S
Las Vegas, NV 89101
Phone (702) 755-2401

9280 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 256-1600

340 Falcon Ridge Pkwy
#200202
Mesquite, NV 89027

340 Falcon Ridge Pkwy
Ste 201
Mesquite, NV 89027
Phone (702) 979-5966

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Interoperability endpoints

  • Direct secure messaging: janice.aguinaldo.1@17520.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1174992085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-844-4842",
            "fax_number": "702-844-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Nature Park Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890843187",
            "country_code": "US",
            "telephone_number": "702-636-2843",
            "fax_number": "702-726-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUINALDO",
        "first_name": "JANICE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174992085",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE",
            "identifier": "APRN002033",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.