Individual provider Active NPI

Eric Krantz, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1346702784
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
818687 Issued in NV
Practice address
2020 Wellness Way Ste 504
Las Vegas, NV 89106-4145
Phone
(561) 271-3491
Fax
(702) 259-9595
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 818687 NV
Nurse Practitioner 363L00000X 818687 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 504
Las Vegas, NV 89106-4145

Mailing address

2020 Wellness Way Ste 504
Las Vegas, NV 89106-4145
Phone (561) 271-3491

Other identifiers 1

IdentifierTypeStateIssuer
818687OtherNVNEVADA APRN LICENSE NUMBER

Other names 1

  • Eric Hersch Krantz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230726001892 VA Practitioner - Nurse Practitioner 6507190055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Virginia LLCGroup PAC ID 1052637733, 13 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Newport News, VA 23606-2565
Phone (757) 594-1990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
818687NVMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Virginia, LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

11803 Jefferson Ave
Newport News, VA 23606
Phone (757) 594-1000

400 Sentara Cir
Williamsburg, VA 23188
Phone (757) 345-4080

14010 Smoketown Rd
Ste 103
Woodbridge, VA 22192
Phone (571) 402-7322

Organizations & group practices 1

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 3

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1346702784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "561-271-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "561-271-3491",
            "fax_number": "702-259-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "ERIC",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "818687",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "818687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA APRN LICENSE NUMBER",
            "identifier": "818687",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "KRANTZ",
            "middle_name": "HERSCH",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.