Individual provider Active NPI

Ngozi Ugwu, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1184026684
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN 002401 Issued in NV
Practice address
601 S Rancho Dr Ste D29
Las Vegas, NV 89106-4827
Phone
(702) 843-0551
Fax
(702) 583-3082
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN 002401 NV Primary

Addresses

Primary practice location

601 S Rancho Dr Ste D29
Las Vegas, NV 89106-4827

Mailing address

601 S Rancho Dr Ste D29
Las Vegas, NV 89106-4827
Phone (702) 843-0551

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
I20200106000519 NV Practitioner - Nurse Practitioner 7810321551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridge Health ServicesGroup PAC ID 8628407848, 2 clinicians

Practice addresses (Care Compare)

601 S Rancho Dr
Suite D29
Las Vegas, NV 89106-4827
Phone (702) 843-0551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN 002401NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Health Services CurrentSince May 7, 2024 Accepting new patients
Canoe Homes Current Accepting new patients
Eugene Rosenman, MD LTD CurrentSince Jan 1, 2020 Accepting new patients
Bridge Health Services Psychiatric/Mental Health CurrentSince Aug 27, 2019 Accepting new patients

Locations

2775 S Jones Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 685-3300

601 S Rancho Dr
Ste D29
Las Vegas, NV 89106
Phone (702) 840-0551

Organizations & group practices 5

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1184026684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE D29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064827",
            "telephone_number": "702-843-0551",
            "fax_number": "702-583-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE D29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064827",
            "telephone_number": "702-843-0551",
            "fax_number": "702-583-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWU",
        "first_name": "NGOZI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN 002401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.