Individual provider Active NPI

Deanna Duch, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1396715488
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000855 Issued in NV
Practice address
4475 S Eastern Ave
Neurology Clinic
Las Vegas, NV 89119-7826
Phone
(702) 669-5944
Fax
(702) 737-5088
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000855 NV
Nurse Practitioner 363L00000X APN000855 NV Primary

Addresses

Primary practice location

4475 S Eastern Ave
Neurology Clinic
Las Vegas, NV 89119-7826

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 669-5944

Other practice location 1

5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone (941) 275-0581

Other identifiers 2

IdentifierTypeStateIssuer
100506919MedicaidNV
1396715488MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050811000938 NV Practitioner - Nurse Practitioner 8325077043 Reassigns benefits to 2 organizations
I20211111000683 FL Practitioner - Nurse Practitioner 8325077043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000855NVMDNurse Practitioner
000855NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrated Rehabilitation, LLC CurrentSince Feb 18, 2026 Accepting new patients
Geiss Med Nevada PC CurrentSince Oct 13, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Oct 13, 2025 Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

2813 Gulf To Bay Blvd
Clearwater, FL 33759

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

1811 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 858-7087

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1396715488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-669-5944",
            "fax_number": "702-737-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S EASTERN AVE",
            "address_2": "NEUROLOGY CLINIC",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197826",
            "telephone_number": "702-669-5944",
            "fax_number": "702-737-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5771 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337603407",
            "country_code": "US",
            "telephone_number": "941-275-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCH",
        "first_name": "DEANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "000855",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506919",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396715488",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.