Individual provider Active NPI

David Elizer Apolinario, NP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1457089039
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
828286 Issued in NV
Practice address
100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704
Phone
(702) 910-3950
NPI assigned
Aug 11, 2022
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 828286 NV Primary

Addresses

Primary practice location

100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

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
I20230127000583 NV Practitioner - Nurse Practitioner 5294106340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7890 Castle Pines Ave
Las Vegas, NV 89113-1205
Phone (909) 787-4775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
828286NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care on Wheels (Apolinario) PLLC CurrentSince Mar 1, 2024 Accepting new patients
Bacchus PC CurrentSince Nov 14, 2022 Accepting new patients
JD Medical Group, LLC CurrentSince Feb 2, 2024 Accepting new patients
RMN Healthcare Providers Corporation Family CurrentSince May 14, 2024 Accepting new patients
P3 Health Partners Professional Services PC Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

3601 W Sahara Ave
Ste 211
Las Vegas, NV 89102
Phone (702) 606-1161

8367 W Flamingo Rd
Ste 202
Las Vegas, NV 89147
Phone (909) 787-4775

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1457089039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 239",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747704",
            "telephone_number": "702-910-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOLINARIO",
        "first_name": "DAVID ELIZER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "828286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.