Active NPI
Carmeli C Ancheta, APRN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1417798240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 879237
- Practice address
- 801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870 - Phone
- (702) 483-3630
- NPI assigned
- Jun 5, 2024
- Last updated
- Jun 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 879237 | NV | Primary |
Addresses
Primary practice location
801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870
Mailing address
9838 Vista Meadows Ave
Las Vegas, NV 89148-5780
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5320 S Rainbow Blvd
Suite 154
Las Vegas, NV 89118-1807
Phone (702) 853-3853
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 879237 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puso, LLC | Current | Accepting new patients |
Locations
801 S Rancho Dr
Ste A2
Las Vegas, NV 89106
Phone (702) 483-3630
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Caring for Life Medical Group
- Family Medicine Physician
- Las Vegas, NV
- NPI 1033537402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717804800000",
"number": "1417798240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9838 VISTA MEADOWS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S RANCHO DR STE A2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063870",
"telephone_number": "702-483-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCHETA",
"first_name": "CARMELI",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-08",
"certification_date": "2024-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "879237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.