Individual provider Active NPI

Marilou Sadicon Sorensen, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1265139893
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
858300 Issued in NV
Practice address
3265 E Tropicana Ave Ste B
Las Vegas, NV 89121-7386
Phone
(855) 226-6633
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 858300 NV Primary

Addresses

Primary practice location

3265 E Tropicana Ave Ste B
Las Vegas, NV 89121-7386

Mailing address

3265 E Tropicana Ave Ste B
Las Vegas, NV 89121-7386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marilou.sorensen.1@29601.direct.athenahealth.com

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
I20230410002105 NV Practitioner - Nurse Practitioner 3678948403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10180 W Tropicana Ave
Suite 136
Las Vegas, NV 89147-8467
Phone (702) 848-3554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
858300NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC CurrentSince Sep 25, 2023 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Sep 25, 2023 Accepting new patients
Centerwell Senior Primary Care (NV) PC Past Accepting new patients
Centerwell Senior Primary Care NV P C Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3265 E Tropicana Ave
Ste B
Las Vegas, NV 89121
Phone (702) 832-4560

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

10180 W Tropicana Ave
Ste 136
Las Vegas, NV 89147
Phone (702) 848-3554

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

Organizations & group practices 5

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1265139893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 E TROPICANA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 E TROPICANA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217386",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "MARILOU",
        "middle_name": "SADICON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "858300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marilou.sorensen.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3265 E Tropicana Ave Ste B",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891217386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.