Active NPI
Chavez & Mederos LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1215717541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CHAVEZ & MEDEROS LLC
- Practice address
- 2470 E Flamingo Rd Ste a
Las Vegas, NV 89121-5200 - Phone
- (702) 772-7705
- NPI assigned
- Oct 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reysel Chavez Medina, FNP
- Title
- FNP
- Phone
- (702) 722-3314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2470 E Flamingo Rd Ste a
Las Vegas, NV 89121-5200
Mailing address
2470 E Flamingo Rd Ste a
Las Vegas, NV 89121-5200
Phone (702) 722-3314
Other names 1
- Chavez & Mederos Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1023725363
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1114634458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1215717541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215200",
"telephone_number": "702-722-3314",
"fax_number": "702-722-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215200",
"telephone_number": "702-772-7705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAVEZ & MEDEROS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-04",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "CHAVEZ MEDINA",
"authorized_official_first_name": "REYSEL",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "702-722-3314",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chavez & Mederos Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.