Active NPI
Michele Ramirez Wijangco, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 835596
- Practice address
- 4750 W Oakey Blvd
Las Vegas, NV 89102-1535 - Phone
- (702) 877-5199
- NPI assigned
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 835596 | NV | Primary |
Addresses
Primary practice location
4750 W Oakey Blvd
Las Vegas, NV 89102-1535
Mailing address
3758 Las Vegas Blvd S
Las Vegas, NV 89109-4132
Phone (702) 262-9028
Other practice location 1
6140 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-6737
Phone (702) 933-6400
Other practice location 2
3758 Las Vegas Blvd S
Las Vegas, NV 89109-4132
Phone (702) 262-9028
Other practice location 3
3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone (707) 599-8691
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
Enrollment records 1
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
Practice addresses (Care Compare)
4750 W Oakey Blvd
Las Vegas, NV 89102-1535
Phone (702) 579-3253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835596 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Outreach Medical Center | Current | Accepting new patients | |
| Community Outreach Medical Center | Current | Accepting new patients | |
| Eastern Primary Care LLC | Current | Accepting new patients | |
| Diverse Mind LLC | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients |
Locations
2080 E Flamingo Rd
Ste 302
Las Vegas, NV 89119
Phone (702) 657-3873
1090 E Desert Inn Rd
Ste 200
Las Vegas, NV 89109
Phone (702) 538-9474
4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 724-8877
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
6859 S Eastern Ave
Ste 103
Las Vegas, NV 89119
Phone (702) 236-2078
Interoperability endpoints
- mwijangco120828@westdirect.optum.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Community Health Clinic/Center
- Las Vegas, NV
- NPI 1073721361
-
- Adolescent and Children Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1215879440
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1790531762
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1457920068
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1245833151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3758 LAS VEGAS BLVD S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891094132",
"telephone_number": "702-262-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W OAKEY BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021535",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [
{
"address_1": "6140 S Fort Apache Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891486737",
"country_code": "US",
"telephone_number": "702-933-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3758 Las Vegas Blvd S",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891094132",
"country_code": "US",
"telephone_number": "702-262-9028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3750 Rohnerville Rd",
"address_purpose": "LOCATION",
"city": "Fortuna",
"state": "CA",
"postal_code": "955403118",
"country_code": "US",
"telephone_number": "707-599-8691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIJANGCO",
"first_name": "MICHELE",
"middle_name": "RAMIREZ",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "835596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 14, 2024; 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.