John Ndubuisi Udo, FNP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

849359 Issued in NV

Practice address

1721 E Charleston Blvd
Las Vegas, NV 89104-1902

Phone

(702) 685-0620

Fax

(702) 685-9674

NPI assigned

Mar 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bernard Addo-Quaye MD PCGroup PAC ID 0648257634, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peace of Mind Home Health Agency, LLC Home health agency, Las Vegas, NV, CCN 297325
• Eagle Home Health Agency, Inc Home health agency, Las Vegas, NV, CCN 297239

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bernard Addo-Quaye MD PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1629079884

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ebonny Behavioral Care Services Corporation

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1467801134

  Multi-Specialty

  Medicare reassignment NPD

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

• Eagle Home Health Agency Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1619355047
  Care Compare affiliation
• Peace of Mind Home Health Agency LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1134683543
  Care Compare affiliation

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1225836471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 FOXLYN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891220832",
            "telephone_number": "702-487-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041902",
            "telephone_number": "702-685-0620",
            "fax_number": "702-685-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDO",
        "first_name": "JOHN",
        "middle_name": "NDUBUISI",
        "credential": "FNP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "849359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowell Udalve, FNP-C
• Cesar P Udani, MD
• Uday R Saraiya MD LTD
• Alexander Udell, D.O.
• Janee Chinyelu Udensi
• Cindy Ugochi Udom, PA
• Faitolo Anthony Ueligitone Jr.
• Lindsey-Mae Ugale, MSN, APRN, FNP-BC
• Sarah Michelle Labajo Uganiza, RBT
• Iluminada Amet Ugarte

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.