Individual provider Active NPI

Charlene Denise Hanna, APRN-CNM

  • Advanced Practice Midwife
  • North Las Vegas, NV
National Provider Identifier
1477708659
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN001092 Issued in NV
Practice address
3930 W Ann Rd Ste 100
North Las Vegas, NV 89031-3842
Phone
(702) 438-4692
Fax
(702) 485-2372
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001092 NV
Advanced Practice Midwife 367A00000X APN001092 NV Primary

Addresses

Primary practice location

3930 W Ann Rd Ste 100
North Las Vegas, NV 89031-3842

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other practice location 1

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

Other practice location 2

6250 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 438-4692

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000164 NV Practitioner - Certified Nurse Midwife (CNM) 8729144209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Associates of Southern Nevada- Martin, PLLCGroup PAC ID 4082845664, 111 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Associates of Southern Nevada- Martin, PLLC Obstetrics & Gynecology CurrentSince May 1, 2017 Accepting new patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince May 1, 2017 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

6250 N Durango Dr
Las Vegas, NV 89149
Phone (702) 342-9990

517 Rose St
Las Vegas, NV 89106
Phone (702) 366-1206

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

3930 W Ann Rd
Ste 100
North Las Vegas, NV 89031
Phone (702) 438-4692

3930 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 438-4692

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1477708659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 W ANN RD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313842",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Rose St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064020",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CHARLENE",
        "middle_name": "DENISE",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001092",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "APN001092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.