Individual provider Active NPI

Simeon Valentin Bogacon Ulep, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1285322966
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
865073 Issued in NV
Practice address
8530 W Sunset Rd Ste 310
Las Vegas, NV 89113-2215
Phone
(702) 936-8710
NPI assigned
May 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 865073 NV Primary

Addresses

Primary practice location

8530 W Sunset Rd Ste 310
Las Vegas, NV 89113-2215

Mailing address

8530 W Sunset Rd Ste 310
Las Vegas, NV 89113-2215
Phone (702) 936-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230920002882 NJ Practitioner - Nurse Practitioner 8022462357 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians

Practice addresses (Care Compare)

6 Earlin Ave
Suite 140
Browns Mills, NJ 08015-1707
Phone (732) 455-8444

731 Hwy 35
Unit G
Ocean, NJ 07712-4767
Phone (732) 455-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
865073NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Nov 22, 2025 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Sep 1, 2023 Accepting new patients
Central Jersey Urgent Care CurrentSince Nov 22, 2025 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Feb 16, 2025 Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1285322966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 310",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132215",
            "telephone_number": "702-936-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 310",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132215",
            "telephone_number": "702-936-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULEP",
        "first_name": "SIMEON VALENTIN",
        "middle_name": "BOGACON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "865073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.