Individual provider Active NPI

Michael John C. Mariano, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1255914545
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
839833 Issued in NV
Practice address
601 S Rancho Dr Ste D28
Las Vegas, NV 89106-4827
Phone
(702) 473-5495
NPI assigned
May 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 839833 NV Primary

Addresses

Primary practice location

601 S Rancho Dr Ste D28
Las Vegas, NV 89106-4827

Mailing address

505 E Windmill LN Ste 1C-154
Las Vegas, NV 89123-1869

Other practice location 1

3195 S Main St
South Salt Lake, UT 84115-3777
Phone (866) 284-8788

Other practice location 2

6930 S Cimarron Rd Ste 220
Las Vegas, NV 89113-2135
Phone (702) 822-7400

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
I20211119001476 NV Practitioner - Nurse Practitioner 3971992520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maria Habbi MDGroup PAC ID 5698190668, 3 clinicians

Practice addresses (Care Compare)

601 S Rancho Dr
Suite D28
Las Vegas, NV 89106-4827
Phone (702) 473-5495

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Habbi MD CurrentSince Oct 5, 2025 Accepting new patients

Locations

601 S Rancho Dr
Ste D28
Las Vegas, NV 89106
Phone (702) 383-0677

840 S Rancho Dr
Ste 4423
Las Vegas, NV 89106

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1255914545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E WINDMILL LN STE 1C-154",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE D28",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064827",
            "telephone_number": "702-473-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3195 S Main St",
            "address_purpose": "LOCATION",
            "city": "South Salt Lake",
            "state": "UT",
            "postal_code": "841153777",
            "country_code": "US",
            "telephone_number": "866-284-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6930 S Cimarron Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132135",
            "country_code": "US",
            "telephone_number": "702-822-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "MICHAEL JOHN",
        "middle_name": "C.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "839833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.