Individual provider Active NPI

Genessis Lizeth Cardenas, CNM

  • Advanced Practice Midwife
  • Las Vegas, NV
National Provider Identifier
1437863172
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
331297 Issued in AZ
Practice address
517 Rose St
Las Vegas, NV 89106-4020
Phone
(702) 438-4692
Fax
(702) 485-2372
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 331297 AZ Primary
Advanced Practice Midwife 367A00000X 895877 NV
Registered Nurse 163W00000X RN68182 NV

Addresses

Primary practice location

517 Rose St
Las Vegas, NV 89106-4020

Mailing address

1403 Lomita Blvd Ste 101
Harbor City, CA 90710-2084
Phone (310) 784-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240716004925 SC Practitioner - Certified Nurse Midwife (CNM) 6608241484
I20260604002404 NV Practitioner - Certified Nurse Midwife (CNM) 6608241484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Life Family Health Center IncGroup PAC ID 9335032275, shared by 12 NPIs, 46 clinicians

Practice addresses (Care Compare)

517 Rose St
Las Vegas, NV 89106-4020
Phone (702) 438-4692

580 N Camino Mercado
Casa Grande, AZ 85122-5757
Phone (520) 381-0381

Merit-based Incentive Payment System (MIPS)

Final score
53.17 of 100Reported as group
Quality
22.47
Promoting interoperability
94
Improvement activities
0
Cost
76.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN68182NVMDRegistered Nurse
331297AZMDAdvanced Practice Midwife
895877NVMDAdvanced Practice Midwife

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1437863172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 101",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102084",
            "telephone_number": "310-784-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ROSE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064020",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "GENESSIS",
        "middle_name": "LIZETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "331297",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "895877",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN68182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.