Individual provider Active NPI

Ikaika K Moreno, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1407349715
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
812685 Issued in NV
Practice address
7220 S Cimarron Rd Ste 155
Las Vegas, NV 89113-2170
Phone
(725) 252-8089
Fax
(800) 532-0674
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN80851 HI
Family Nurse Practitioner 363LF0000X APRN-2456 HI
Family Nurse Practitioner 363LF0000X 812685 NV Primary

Addresses

Primary practice location

7220 S Cimarron Rd Ste 155
Las Vegas, NV 89113-2170

Mailing address

7220 S Cimarron Rd Ste 155
Las Vegas, NV 89113-2170
Phone (725) 252-8089

Other identifiers 2

IdentifierTypeStateIssuer
812685OtherNVSTATE LICENSE
1407349715MedicaidNV

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
I20190605003077 NV Practitioner - Nurse Practitioner 0042552267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

5850 S Polaris Rd
Suite 100
Las Vegas, NV 89118-3185
Phone (702) 739-9957

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN80851HIMDEmergency Registered Nurse
812685NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Current Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
American Current Care PA CurrentSince Sep 12, 2021 Accepting new patients
American Current Care P.a. CurrentSince Sep 12, 2021 Accepting new patients
Yang Medical Services, PLLC Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Medinix Medical Services Singh PLLC Family Medicine CurrentSince Mar 29, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients
Randall H. Hirata M.D., Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

5850 Polaris Ave
Ste 100
Las Vegas, NV 89118
Phone (702) 739-9957

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

5771 S Fort Apache Rd
Ste 120
Las Vegas, NV 89148
Phone (702) 614-1250

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

Organizations & group practices 8

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1407349715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132170",
            "telephone_number": "725-252-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132170",
            "telephone_number": "725-252-8089",
            "fax_number": "800-532-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "IKAIKA",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "HI",
            "license": "RN80851",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2456",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "812685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "812685",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407349715",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.