Individual provider Active NPI

Reimund Serafica, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1245823863
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
837657 Issued in NV
Practice address
3000 W Charleston Blvd Ste 5
Las Vegas, NV 89102-1940
Phone
(702) 877-9511
Fax
(702) 877-6711
NPI assigned
Feb 15, 2021
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 837657 NV Primary

Addresses

Primary practice location

3000 W Charleston Blvd Ste 5
Las Vegas, NV 89102-1940

Mailing address

1573 Dark Wolf Ave
Las Vegas, NV 89123-4859
Phone (704) 473-7716

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
I20210524000224 NV Practitioner - Nurse Practitioner 9234538372 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

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
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.29
Promoting interoperability
95
Improvement activities
40
Cost
61.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calaguas LTD CurrentSince Feb 21, 2021 Accepting new patients
Advanced Practice Psychiatry of Nevada LCC Psychiatric/Mental Health CurrentSince Jul 17, 2021 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Mar 6, 2023 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

3000 W Charleston Blvd
Ste 5
Las Vegas, NV 89102
Phone (702) 623-7205

Interoperability endpoints

  • Direct secure messaging: reimund.serafica.1@24259.direct.athenahealth.com

Organizations & group practices 4

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1245823863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 DARK WOLF AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234859",
            "telephone_number": "704-473-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W CHARLESTON BLVD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021940",
            "telephone_number": "702-877-9511",
            "fax_number": "702-877-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFICA",
        "first_name": "REIMUND",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "837657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.