Individual provider Active NPI

Michelle Pelagio, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1437931920
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
887419 Issued in NV
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

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612000405 NV Practitioner - Nurse Practitioner 1153772165 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC CurrentSince Jun 9, 2025 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Jun 9, 2025 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.

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

Verify at the official NPI Registry.