NPIMap

Individual provider Active NPI

Joan Rueter Carapucci, PA-C

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1255342069
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MED-PAC-LIC-69431 Issued in MT
Practice address
2775 S. Jones Blvd
Suite 101
Las Vegas, NV 89146
Phone
(702) 685-3300
Fax
(702) 586-3333
NPI assigned
Aug 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Child & Adolescent Psychiatry Physician 2084P0804X MED-PAC-LIC-69431 MT Primary
Geriatric Psychiatry Physician 2084P0805X MED-PAC-LIC-69431 MT

Addresses

Primary practice location

2775 S. Jones Blvd
Suite 101
Las Vegas, NV 89146

Mailing address

2775 S. Jones Blvd
Suite 101
Las Vegas, NV 89146
Phone (702) 685-3300

Other identifiers 1

IdentifierTypeStateIssuer
002402127MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000084 NV Practitioner - Physician Assistant 4789680133 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eugene Rosenman MD LTDGroup PAC ID 9436181237, 13 clinicians
Mco Legacy LLCGroup PAC ID 4486788346, 2 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2775 S Jones Blvd
Suite 101
Las Begas, NV 89146-5632
Phone (702) 685-3300

2881 S Valley View Blvd
Suite 1
Las Vegas, NV 89102-0145
Phone (702) 922-7015

5409 E Lake Mead Blvd
Las Vegas, NV 89156-6709
Phone (702) 383-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MED-PAC-LIC-69431MTMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jun 1, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jun 1, 2025 Accepting new patients
Behavioral Healthcare Options, Inc. Past Accepting new patients
Talbert Medical Group Past Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

5409 E Lake Mead Blvd
Las Vegas, NV 89156
Phone (702) 383-6200

Organizations & group practices 7

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255342069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 S. JONES BLVD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-685-3300",
            "fax_number": "702-586-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S. JONES BLVD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-685-3300",
            "fax_number": "702-586-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAPUCCI",
        "first_name": "JOAN",
        "middle_name": "RUETER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MT",
            "license": "MED-PAC-LIC-69431",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MT",
            "license": "MED-PAC-LIC-69431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402127",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.