Individual provider Active NPI

Vicente Hector Gatan, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1477722866
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001024 Issued in NV
Practice address
6276 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118-3243
Phone
(702) 396-4165
Fax
(702) 252-4405
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X APN001024 NV
Nurse Practitioner 363L00000X APN001024 NV Primary

Addresses

Primary practice location

6276 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118-3243

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 243-8500

Other identifiers 2

IdentifierTypeStateIssuer
1477722866MedicaidNV
CQ729XOtherNVMEDICARE - SMA CONVENIENT CARE

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
I20080424000070 NV Practitioner - Nurse Practitioner 6901984483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Specialists LLCGroup PAC ID 7214974971, 12 clinicians

Practice addresses (Care Compare)

6867 W Charleston Blvd
Suite 100
Las Vegas, NV 89117-1669
Phone (702) 396-4165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
40.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001024NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialists, LLC CurrentSince Feb 1, 2017 Accepting new patients
Valley Primary Care Center LLC PastSince Nov 28, 2021 Accepting new patients

Locations

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

6867 W Charleston Blvd
Ste 100
Las Vegas, NV 89117
Phone (702) 396-4165

6276 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 220-5557

6867 W Charleston Blvd
Ste B
Las Vegas, NV 89117
Phone (702) 266-6150

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1477722866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-243-8500",
            "fax_number": "702-363-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 S RAINBOW BLVD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183243",
            "telephone_number": "702-396-4165",
            "fax_number": "702-252-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATAN",
        "first_name": "VICENTE",
        "middle_name": "HECTOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NV",
            "license": "APN001024",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477722866",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - SMA CONVENIENT CARE",
            "identifier": "CQ729X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.