Individual provider Active NPI

Marie Ann PO

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1316688237
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
852104 Issued in NV
Practice address
5052 S Jones Blvd Ste 130
Las Vegas, NV 89118-0567
Phone
(702) 466-4148
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 852104 NV Primary

Addresses

Primary practice location

5052 S Jones Blvd Ste 130
Las Vegas, NV 89118-0567

Mailing address

6999 Bard Ave
Las Vegas, NV 89113-5537
Phone (702) 466-4148

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
I20220610002602 NV Practitioner - Nurse Practitioner 2668850181 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Las Vegas, NV 89113
Phone (702) 466-4148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852104NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Cardiology Group PLLC CurrentSince May 1, 2022 Accepting new patients
Albion Medical Group of Nevada, PC CurrentSince Aug 1, 2023 Accepting new patients
CS Pacs 3 West LLC CurrentSince Oct 14, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 14, 2025 Accepting new patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Oct 14, 2025 Accepting new patients
Prime Health Services LLC Family CurrentSince Mar 1, 2023 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

5052 S Jones Blvd
Ste 130
Las Vegas, NV 89118
Phone (702) 444-0375

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

2911 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 474-2460

6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

Organizations & group practices 7

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1316688237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 BARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135537",
            "telephone_number": "702-466-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 S JONES BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180567",
            "telephone_number": "702-466-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PO",
        "first_name": "MARIE ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "852104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.