Medina Tan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

848581 Issued in NV

Practice address

3753 Howard Hughes Pkwy Ste 200
Las Vegas, NV 89169-0952

Phone

(502) 320-0023

Fax

(949) 281-5550

NPI assigned

Mar 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bruncuso Holdings LLCGroup PAC ID 4789043449, 14 clinicians

Geiss Med Nevada PCGroup PAC ID 8921400599, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accord Home Health, Inc Home health agency, Henderson, NV, CCN 297375

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bruncuso Holdings LLC

  • Family Nurse Practitioner
  • Cave Creek, AZ
  • NPI 1497442586

  NV

  Medicare reassignment Care Compare group NPD
• Geiss Med Nevada PC

  • Family Medicine Physician
  • Orange, CA
  • NPI 1033793963

  NV

  Medicare reassignment Care Compare group NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  NV

  Medicare reassignment NPD

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

• Accord Home Health Inc

  • Home Health Agency
  • Henderson, NV
  • NPI 1548951924
  Care Compare affiliation

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1295534782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE A218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460847",
            "telephone_number": "725-205-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 HOWARD HUGHES PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891690952",
            "telephone_number": "502-320-0023",
            "fax_number": "949-281-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MEDINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "848581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kondrad R Tan, MOT
• Kylie Nicole Tan, BSN, RN
• Leopoldo Castillo Tan Jr., APRN-CNP
• Maria Eunice D Tan, NP
• Mark Tan, MD
• Nick Tan
• Rhigel Alforque Tan, RN MSN APN
• Robert Tan
• Soledad Tan
• Tony Tan

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.