Mark Joel Rivera Culanag, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

825001 Issued in NV

Practice address

6843 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4923

Phone

(702) 888-1113

Fax

(725) 204-5236

NPI assigned

Oct 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Practitioner LLCGroup PAC ID 3870960974, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGBJCD
• FHIR API: https://fhir4.healow.com/fhir/r4/JGBJCD/Endpoint/JGBJCD

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.

• Advanced Practitioner LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1922721406
  Medicare reassignment Care Compare group NPD Authorized official
• Dana Forte D O LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1649209420
  Medicare reassignment NPD
• Suresh G Prabhu MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1295757250
  Medicare reassignment NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1306489331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034923",
            "telephone_number": "702-888-1113",
            "fax_number": "725-204-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034923",
            "telephone_number": "702-888-1113",
            "fax_number": "725-204-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULANAG",
        "first_name": "MARK JOEL",
        "middle_name": "RIVERA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "825001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250004418",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jialu Cui
• Nicole Joan Valmoria Cui
• Yi Cui
• Yunuen Cuicas, M.ED, BCBA, LBA
• Danyael Nicole Cuison
• Maylene Rosanes Culanag, APRN-CNP
• Rosemarie Culanay
• Lakeia Culberson
• Emily Christina Culbert, M.D.
• Darious Culepepper

• 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, 2022; 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.