Individual provider Active NPI

Marichu Pizan, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1497131668
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001944 Issued in NV
Practice address
8854 Carradori Ave
Las Vegas, NV 89148-4940
Phone
(702) 239-9235
NPI assigned
Aug 10, 2015
Last updated
Oct 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001944 NV Primary

Addresses

Primary practice location

8854 Carradori Ave
Las Vegas, NV 89148-4940

Mailing address

10624 S Eastern Ave # a.955
Henderson, NV 89052-2982
Phone (702) 239-9235

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
I20160425002340 NV Practitioner - Nurse Practitioner 4880993856 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8879 W Flamingo Rd
Suite 106
Las Vegas, NV 89147-8732
Phone (702) 625-0022

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP CurrentSince Mar 16, 2016 Accepting new patients
Manila Adult Daycare LLC Current Accepting new patients
Metabolic Restoration LLC CurrentSince Nov 18, 2023 Accepting new patients
Manila Adult Daycare LLC Current Accepting new patients
Aguila Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Southern Nevada Care Center CurrentSince Jan 21, 2021 Accepting new patients
Platinum Hospitalists LLP CurrentSince Mar 16, 2016 Accepting new patients
Clark County Medical Group LLC Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Munawar a Qurashi MD LLC CurrentSince Jan 1, 2017 Accepting new patients
Southern Nevada Care Center Past Accepting new patients
Nevada Community Hospice LLC PastSince May 22, 2022 Accepting new patients
Southern Nevada Care Center Past Accepting new patients
Carelink Medical Group of Nevada LLC PastSince Aug 1, 2016 Accepting new patients
Diao NP PLLC PastSince May 3, 2020 Accepting new patients
Meadows Feel Well Center LLC PastSince Sep 25, 2022 Accepting new patients

Locations

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

2847 Saint Rose Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 920-0290

1330 Karen Ave
#B
Las Vegas, NV 89169
Phone (702) 417-4543

5693 S Jones Blvd
Ste 102
Las Vegas, NV 89118
Phone (702) 524-9599

6720 N Hualapai Way
Ste 145
Las Vegas, NV 89149
Phone (716) 380-2292

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

8879 W Flamingo Rd
Ste 102
Las Vegas, NV 89147
Phone (702) 213-0007

8879 W Flamingo Rd
Ste 106
Las Vegas, NV 89147
Phone (702) 625-0022

9280 W Sunset Rd
Ste 414
Las Vegas, NV 89148
Phone (702) 896-2020

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1497131668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A.955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-239-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8854 CARRADORI AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484940",
            "telephone_number": "702-239-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZAN",
        "first_name": "MARICHU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.