Individual provider Active NPI

Vibhutiben Vrajeshkumar Patel

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1417717752
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
842163 Issued in NV
Practice address
2645 W Horizon Ridge Pkwy
Henderson, NV 89052-2898
Phone
(702) 790-2211
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 842163 NV Primary

Addresses

Primary practice location

2645 W Horizon Ridge Pkwy
Henderson, NV 89052-2898

Mailing address

140 Sand Lake St
Henderson, NV 89074-1654
Phone (702) 202-7877

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
I20240522002635 NV Practitioner - Nurse Practitioner 7719329739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sagebrush Medical Center LLCGroup PAC ID 6901187020, 8 clinicians

Practice addresses (Care Compare)

2645 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2899
Phone (702) 790-2211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sagebrush Medical Center, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

2645 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 614-1800

8660 Spring Mountain Rd
Ste 103
Las Vegas, NV 89117
Phone (702) 790-2211

3097 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 790-2211

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1417717752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAND LAKE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741654",
            "telephone_number": "702-202-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522898",
            "telephone_number": "702-790-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIBHUTIBEN",
        "middle_name": "VRAJESHKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "842163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.