Individual provider Active NPI

Natalie Rae Wynn, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1407487077
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
815950 Issued in NV
Practice address
6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760
Phone
(702) 848-4443
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 815950 NV
Pain Management Registered Nurse 163WP0000X RN46729 NV
Addiction Medicine (Anesthesiology) Physician 207LA0401X 815950 NV
Pain Medicine Physician 208VP0000X 815950 NV
Anesthesiology Physician 207L00000X 815950 NV
Interventional Pain Medicine Physician 208VP0014X 815950 NV
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 815950 NV
Nurse Practitioner 363L00000X 815950 NV Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 815950 NV
Physical Medicine & Rehabilitation Physician 208100000X 815950 NV

Addresses

Primary practice location

6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760

Mailing address

6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760
Phone (702) 948-8660

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
I20230627000500 NV Practitioner - Nurse Practitioner 4587052444 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN46729NVMDPain Management Registered Nurse
815950NVMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince Jun 1, 2023 Accepting new patients
Lipshutz & Wills Medical Group LLP Anesthesiology CurrentSince Jun 4, 2024 Accepting new patients

Locations

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

6120 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 213-9093

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBEDDD/Endpoint/DBEDDD

Organizations & group practices 2

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1407487077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486760",
            "telephone_number": "702-948-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486760",
            "telephone_number": "702-848-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "NATALIE",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NV",
            "license": "RN46729",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "815950",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NV",
            "license": "815950",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "815950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.