Individual provider Active NPI

Mario Jose Valdes Espino, NP-C, FNP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1194497735
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
813487 Issued in NV
Practice address
111 S Gibson Rd Apt 11101
Henderson, NV 89012-0003
Phone
(702) 540-2259
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 813487 NV Primary

Addresses

Primary practice location

111 S Gibson Rd Apt 11101
Henderson, NV 89012-0003

Mailing address

111 S Gibson Rd Apt 11101
Henderson, NV 89012-0003
Phone (702) 540-2259

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
I20220202002192 NV Practitioner - Nurse Practitioner 4183017767 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bauza Neuropsychiatry Center LLCGroup PAC ID 7618370040, 6 clinicians

Practice addresses (Care Compare)

1601 E Flamingo Rd
Suite 18
Las Vegas, NV 89119-5244
Phone (702) 478-9971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
813487NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Power Medical Center LLC CurrentSince Nov 1, 2021 Accepting new patients
Bauza Neuropsychiatry Center LLC CurrentSince May 1, 2022 Accepting new patients
Bauza Family Medicine LLC CurrentSince May 27, 2025 Accepting new patients
Brain Power Medical Center LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1601 E Flamingo Rd
Ste 18
Las Vegas, NV 89119
Phone (702) 478-9971

1621 E Flamingo Rd
Ste 16A
Las Vegas, NV 89119
Phone (702) 478-9971

4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1194497735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GIBSON RD APT 11101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890120003",
            "telephone_number": "702-540-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GIBSON RD APT 11101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890120003",
            "telephone_number": "702-540-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES ESPINO",
        "first_name": "MARIO",
        "middle_name": "JOSE",
        "credential": "NP-C, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "813487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.