Active NPI
Michelle Pelagio, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 887419
- Practice address
- 80 S Martin Luther King Blvd Ste 100
Las Vegas, NV 89106-4325 - Phone
- (725) 228-4500
- Fax
- (877) 889-2823
- NPI assigned
- Oct 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 887419 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | 95027363 | CA |
Addresses
Primary practice location
80 S Martin Luther King Blvd Ste 100
Las Vegas, NV 89106-4325
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Other practice location 1
8794 Applewood St
Chino, CA 91708-9425
Phone (949) 394-5243
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.pelagio.1@29601.direct.athenahealth.com |
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 S Martin Luther King Blvd
Suite 100
Las Vegas, NV 89106-4325
Phone (725) 228-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (NV) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care (NV) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care (NV) PC | Past | Accepting new patients | |
| Centerwell Senior Primary Care NV P C | Past | Accepting new patients | |
| Centerwell Senior Primary Care (NV) PC | Past | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457
80 S Martin Luther King Blvd
#100
Las Vegas, NV 89106
Phone (725) 228-4500
4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1437931920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 S MARTIN LUTHER KING BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064325",
"telephone_number": "725-228-4500",
"fax_number": "877-889-2823"
}
],
"practiceLocations": [
{
"address_1": "8794 Applewood St",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917089425",
"country_code": "US",
"telephone_number": "949-394-5243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELAGIO",
"first_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "887419",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027363",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.pelagio.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "80 S Martin Luther King Blvd Ste 100",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891064325",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 13, 2026; 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.