Individual provider Active NPI

Alexis Rae Del Grosso

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1497425334
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
824065 Issued in NV
Practice address
5320 S Rainbow Blvd Ste 282
Las Vegas, NV 89118-1896
Phone
(702) 243-0202
Fax
(702) 262-9330
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 824065 NV
Nurse Practitioner 363L00000X 824065 NV Primary

Addresses

Primary practice location

5320 S Rainbow Blvd Ste 282
Las Vegas, NV 89118-1896

Mailing address

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

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
I20240507004623 NV Practitioner - Nurse Practitioner 6608217765 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
Women'S Health Associates of Southern Nevada- Martin, PLLCGroup PAC ID 4082845664, 111 clinicians

Practice addresses (Care Compare)

5320 S Rainbow Blvd
Suite 282
Las Vegas, NV 89118-1896
Phone (702) 243-0202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
824065NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince Mar 25, 2024 Accepting new patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince Mar 25, 2024 Accepting new patients

Locations

5320 S Rainbow Blvd
Ste 282
Las Vegas, NV 89118
Phone (702) 243-0202

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

5380 S Rainbow Blvd
Ste 306
Las Vegas, NV 89118
Phone (702) 362-9930

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1497425334",
    "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": "5320 S RAINBOW BLVD STE 282",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181896",
            "telephone_number": "702-243-0202",
            "fax_number": "702-262-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL GROSSO",
        "first_name": "ALEXIS",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "824065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "824065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.