Individual provider Active NPI

Ma Renzel Therezna Samonte Caparros, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1194557702
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
810587 Issued in NV
Practice address
3540 W Sahara Ave Ste 330
Las Vegas, NV 89102-5816
Phone
(702) 921-6823
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 810587 NV Primary

Addresses

Primary practice location

3540 W Sahara Ave Ste 330
Las Vegas, NV 89102-5816

Mailing address

3540 W Sahara Ave Ste 330
Las Vegas, NV 89102-5816
Phone (702) 921-6823

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
I20241023003664 NV Practitioner - Nurse Practitioner 0547793945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Health Care LLCGroup PAC ID 3577560457, 29 clinicians

Practice addresses (Care Compare)

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2150

Hospital & facility affiliations

  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
810587NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Body and Mind Health Partners CurrentSince Sep 17, 2024 Accepting new patients
Pioneer Health Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Mubder Health LLC PastSince Sep 29, 2024 Accepting new patients

Locations

3001 Saint Rose Pkwy
Fl 4
Henderson, NV 89052

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3540 W Sahara Ave
Ste 330
Las Vegas, NV 89102
Phone (702) 945-2321

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

6889 W Charleston Blvd
Ste A
Las Vegas, NV 89117
Phone (702) 703-5597

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1194557702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 W SAHARA AVE STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025816",
            "telephone_number": "702-921-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 W SAHARA AVE STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025816",
            "telephone_number": "702-921-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPARROS",
        "first_name": "MA RENZEL THEREZNA",
        "middle_name": "SAMONTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "810587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.