Individual provider Active NPI

Cleeanne Justin Bituin, APRN, NP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205448941
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
833932 Issued in NV
Practice address
1811 S Rainbow Blvd Ste 201
Las Vegas, NV 89146-0855
Phone
(702) 996-7877
Fax
(702) 996-7807
NPI assigned
Aug 22, 2020
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 833932 NV Primary
General Practice Registered Nurse 163WG0000X RN78172 NV

Addresses

Primary practice location

1811 S Rainbow Blvd Ste 201
Las Vegas, NV 89146-0855

Mailing address

1811 S Rainbow Blvd Ste 201
Las Vegas, NV 89146-0855
Phone (702) 996-7877

Other practice location 1

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Phone (702) 209-0370

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
I20210323002110 NV Practitioner - Nurse Practitioner 5092122812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upbeat Health PLLCGroup PAC ID 7618357914, 3 clinicians

Practice addresses (Care Compare)

1811 S Rainbow Blvd
Suite 201
Las Vegas, NV 89146-0855
Phone (702) 996-7877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN78172NVMDGeneral Practice Registered Nurse
833932NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yang Medical Services, PLLC CurrentSince Jun 28, 2023 Accepting new patients
Upbeat Health PLLC CurrentSince Feb 24, 2022 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

1811 S Rainbow Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 748-9726

7455 Arroyo Crossing Pkwy
Ste 220
Las Vegas, NV 89113
Phone (702) 761-6467

Interoperability endpoints

  • Direct secure messaging: cleeannejustin.bituin@747060700643332.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1205448941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S RAINBOW BLVD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460855",
            "telephone_number": "702-996-7877",
            "fax_number": "702-996-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S RAINBOW BLVD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460855",
            "telephone_number": "702-996-7877",
            "fax_number": "702-996-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6767 W Tropicana Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891034755",
            "country_code": "US",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITUIN",
        "first_name": "CLEEANNE JUSTIN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-22",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833932",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "RN78172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.