Individual provider Active NPI

Nicole Elizabeth Capobianco, APRN, FNP-C

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1225893555
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
828104 Issued in NV
Practice address
9580 W Sahara Ave Ste 150
Las Vegas, NV 89117-8827
Phone
(702) 518-0814
Fax
(702) 977-8810
NPI assigned
Feb 15, 2024
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 828104 NV Primary

Addresses

Primary practice location

9580 W Sahara Ave Ste 150
Las Vegas, NV 89117-8827

Mailing address

3421 White Bark Pine St
Las Vegas, NV 89129-8120
Phone (702) 553-7736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002496 NV Practitioner - Nurse Practitioner 9234579756 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
828104NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raj P. Singh MD PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

3900 W Charleston Blvd
Las Vegas, NV 89102

3900 W Charleston Blvd
Ste 170
Las Vegas, NV 89102
Phone (702) 362-2273

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1225893555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 WHITE BARK PINE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298120",
            "telephone_number": "702-553-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 W SAHARA AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178827",
            "telephone_number": "702-518-0814",
            "fax_number": "702-977-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "828104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.