Individual provider Active NPI

Michelle Lynn Guerrero, MSN FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1306244033
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN45686 Issued in NV
Practice address
9484 W Flamingo Rd Ste 280
Las Vegas, NV 89147-5746
Phone
(808) 477-4685
Fax
(866) 651-0689
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 RN45686 NV Primary

Addresses

Primary practice location

9484 W Flamingo Rd Ste 280
Las Vegas, NV 89147-5746

Mailing address

1116 Salem Rose CT
Las Vegas, NV 89144-1665
Phone (702) 327-5126

Other practice location 1

2005 Paradise Peak Dr
Las Vegas, NV 89134-0309
Phone (702) 327-5126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN45686NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Nurse Practitioner CurrentSince Mar 1, 2015 Accepting new patients
Yang Medical Services, PLLC CurrentSince Dec 4, 2020 Accepting new patients
Shadow Emergency Physicians PLLC Nurse Practitioner CurrentSince Mar 1, 2015 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

Organizations & group practices 3

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1306244033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 SALEM ROSE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441665",
            "telephone_number": "702-327-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 W FLAMINGO RD STE 280",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475746",
            "telephone_number": "808-477-4685",
            "fax_number": "866-651-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Paradise Peak Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340309",
            "country_code": "US",
            "telephone_number": "702-327-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "RN45686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.