Individual provider Active NPI

Kristine Peralta, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1275423055
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
891482 Issued in NV
Practice address
6827 W Tropicana Ave Ste 110
Las Vegas, NV 89103-4920
Phone
(702) 508-9128
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 891482 NV
Nurse Practitioner 363L00000X 891482 NV Primary

Addresses

Primary practice location

6827 W Tropicana Ave Ste 110
Las Vegas, NV 89103-4920

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

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
I20260203002183 NV Practitioner - Nurse Practitioner 2264910926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

6827 W Tropicana Ave
Suite 110
Las Vegas, NV 89103-4920
Phone (702) 508-9128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
891482NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Nurse Practitioner CurrentSince Jul 6, 2025 Accepting new patients
Raja S Mehdi MD PLLC Past Accepting new patients

Locations

6827 W Tropicana Ave
Las Vegas, NV 89103
Phone (702) 508-9128

6827 W Tropicana Ave
Ste 110
Las Vegas, NV 89103
Phone (702) 508-9128

2340 E Calvada Blvd
Ste 7
Pahrump, NV 89048
Phone (702) 508-9128

Organizations & group practices 2

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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1275423055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 W TROPICANA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034920",
            "telephone_number": "702-508-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "KRISTINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "891482",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "891482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.