Individual provider Active NPI

Raedell Aranas Deleon-Valdez

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1427772490
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
860222 Issued in NV
Practice address
2911 N Tenaya Way Ste 104
Las Vegas, NV 89128-0488
Phone
(702) 805-5678
Fax
(702) 268-7605
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 860222 NV
Nurse Practitioner 363L00000X 860222 NV Primary

Addresses

Primary practice location

2911 N Tenaya Way Ste 104
Las Vegas, NV 89128-0488

Mailing address

1546 Emerald Oaks Ave
Henderson, NV 89014-2690
Phone (702) 572-4675

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
I20230801003894 NV Practitioner - Nurse Practitioner 1557722931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2865 Siena Heights Dr
Suite 331
Henderson, NV 89052-4171
Phone (702) 407-0110

Merit-based Incentive Payment System (MIPS)

Final score
79.39 of 100Reported as group
Quality
55.26
Improvement activities
40
Cost
73.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Cardiology Group PLLC CurrentSince Jun 19, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Feb 3, 2025 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Feb 3, 2025 Accepting new patients

Locations

2865 Siena Heights Dr
Ste 331
Henderson, NV 89052
Phone (702) 407-0110

2911 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 474-2460

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

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

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: raedelldeleon-valdez@hcpnv.allscriptsdirect.net

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1427772490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 EMERALD OAKS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142690",
            "telephone_number": "702-572-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N TENAYA WAY STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280488",
            "telephone_number": "702-805-5678",
            "fax_number": "702-268-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON-VALDEZ",
        "first_name": "RAEDELL",
        "middle_name": "ARANAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "860222",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "860222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.