Active NPI
Roselle Ablog Lina, APRN-CNP
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1265081848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06191111
- Practice address
- 3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067 - Phone
- (725) 712-5792
- Fax
- (702) 433-8739
- NPI assigned
- Sep 6, 2019
- 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 | F06191111 | NV | Primary |
Addresses
Primary practice location
3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067
Mailing address
6330 S Pecos Rd Ste 110
Las Vegas, NV 89120-6216
Phone (702) 433-1282
Other practice location 1
6330 S Pecos Rd Ste 110
Las Vegas, NV 89120-6216
Phone (702) 433-1282
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221020001274 | NV | Practitioner - Nurse Practitioner | 9032523139 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06191111 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Health Systems | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18211/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Apple Valley, CA
- NPI 1518494541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1265081848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 S PECOS RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891206216",
"telephone_number": "702-433-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 311",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215067",
"telephone_number": "725-712-5792",
"fax_number": "702-433-8739"
}
],
"practiceLocations": [
{
"address_1": "6330 S Pecos Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891206216",
"country_code": "US",
"telephone_number": "702-433-1282",
"fax_number": "702-433-1559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINA",
"first_name": "ROSELLE",
"middle_name": "ABLOG",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "F06191111",
"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 Apr 5, 2023; 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.