Individual provider Active NPI

Amauri Santiago Rosales Ponce de Leon, APRN-CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205454295
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
841192 Issued in NV
Practice address
3430 E Flamingo Rd Ste 104
Las Vegas, NV 89121-5070
Phone
(702) 703-9070
Fax
(702) 977-4760
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 841192 NV
Family Nurse Practitioner 363LF0000X 841192 NV Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 104
Las Vegas, NV 89121-5070

Mailing address

546 N Eastern Ave Ste 140
Las Vegas, NV 89101-3485
Phone (702) 778-7614

Other practice location 1

546 N Eastern Ave
Las Vegas, NV 89101-3481
Phone (702) 778-7614

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
I20250213002055 NV Practitioner - Nurse Practitioner 0749710259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3430 E Flamingo Rd
Las Vegas, NV 89121-5070
Phone (702) 331-2094

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogelio Machuca MD Family Medicine, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Rogelio Machuca MD Family Medicine, PLLC Current Accepting new patients
Leon Medical LLC Current Accepting new patients

Locations

3430 E Flamingo Rd
Ste 104
Las Vegas, NV 89121
Phone (510) 456-8143

546 N Eastern Ave
Ste 140
Las Vegas, NV 89101
Phone (702) 234-1691

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1205454295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N EASTERN AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013485",
            "telephone_number": "702-778-7614",
            "fax_number": "702-778-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215070",
            "telephone_number": "702-703-9070",
            "fax_number": "702-977-4760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891013481",
            "country_code": "US",
            "telephone_number": "702-778-7614",
            "fax_number": "702-778-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES PONCE DE LEON",
        "first_name": "AMAURI",
        "middle_name": "SANTIAGO",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "841192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "841192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.