Individual provider Active NPI

Melanie Manuel, FNP-BC

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1437830668
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
864101 Issued in NV
Practice address
5625 Losee Rd
North Las Vegas, NV 89081-2523
Phone
(702) 552-1818
Fax
(702) 968-8637
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 864101 NV Primary

Addresses

Primary practice location

5625 Losee Rd
North Las Vegas, NV 89081-2523

Mailing address

3089 Azure Bay St
Las Vegas, NV 89117-2572
Phone (702) 580-3875

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
I20260217001581 NV Practitioner - Nurse Practitioner 5890275077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3089 Azure Bay St
Las Vegas, NV 89117-2572

5625 Losee Rd
North Las Vegas, NV 89081-2523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
864101NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M3L Medical Group LLC CurrentSince Dec 23, 2025 Accepting new patients

Locations

5625 Losee Rd
#A
North Las Vegas, NV 89081
Phone (702) 552-1818

5625 Losee Rd
North Las Vegas, NV 89081
Phone (702) 552-1818

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1437830668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 AZURE BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172572",
            "telephone_number": "702-580-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 LOSEE RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812523",
            "telephone_number": "702-552-1818",
            "fax_number": "702-968-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MELANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "864101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.