Individual provider Active NPI

Marina Gorbachinsky, ANP

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1386837482
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000963 Issued in NV
Practice address
4755 W Ann Rd
Suite 400
North Las Vegas, NV 89031-3424
Phone
(720) 645-0332
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 APN000963 NV Primary

Addresses

Primary practice location

4755 W Ann Rd
Suite 400
North Las Vegas, NV 89031-3424

Mailing address

1400 Goldenspur LN
Las Vegas, NV 89117-1377
Phone (412) 877-1786

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
I20080403000174 NV Practitioner - Nurse Practitioner 2668559451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Medical Group of Nevada, P.CGroup PAC ID 1557454410, 30 clinicians

Practice addresses (Care Compare)

2662 W Horizon Ridge Pkwy
Henderson, NV 89052-2844
Phone (866) 389-2727

3290 S Fort Apache Rd
Las Vegas, NV 89117-0738
Phone (866) 389-2727

4755 W Ann Rd
North Las Vegas, NV 89031-3424
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
71.81
Improvement activities
40
Cost
83.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of Nevada, P.C Family CurrentSince Aug 27, 2007 Accepting new patients

Locations

8116 Las Vegas Blvd S
Las Vegas, NV 89123
Phone (702) 407-7063

3290 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 254-2598

4755 W Ann Rd
Ste 400
North Las Vegas, NV 89031
Phone (720) 645-0332

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1386837482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GOLDENSPUR LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171377",
            "telephone_number": "412-877-1786",
            "fax_number": "702-982-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 W ANN RD",
            "address_2": "SUITE 400",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313424",
            "telephone_number": "720-645-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBACHINSKY",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.