Individual provider Active NPI

Princess Pangilinan, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1497432785
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
866562 Issued in NV
Practice address
801 S Rancho Dr Ste B1B
Las Vegas, NV 89106-3871
Phone
(702) 490-2398
Fax
(702) 912-2273
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 866562 NV Primary

Addresses

Primary practice location

801 S Rancho Dr Ste B1B
Las Vegas, NV 89106-3871

Mailing address

8317 Spanish Creek CT
Las Vegas, NV 89113-4688
Phone (818) 943-9059

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
I20230920003371 NV Practitioner - Nurse Practitioner 1759735095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aida Loudyi PLLCGroup PAC ID 8224486683, 2 clinicians
Good Samaritan Family PracticeGroup PAC ID 2365736196, 4 clinicians

Practice addresses (Care Compare)

7905 W Sahara Ave
Suite 107
Las Vegas, NV 89117-7904
Phone (702) 915-7956

9280 W Sunset Rd
Suite 410
Las Vegas, NV 89148-4862
Phone (702) 400-0517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
866562NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Intention Health Current Accepting new patients
Aida Loudyi PLLC CurrentSince Feb 1, 2025 Accepting new patients
Good Samaritan Family Practice Family CurrentSince Aug 8, 2023 Accepting new patients
Good Samaritan Transitional Care & Wound Specialist CurrentSince Aug 8, 2023 Accepting new patients

Locations

7905 W Sahara Ave
Ste 107
Las Vegas, NV 89117
Phone (702) 915-7856

801 S Rancho Dr
Ste B1B
Las Vegas, NV 89106
Phone (702) 400-0517

9280 W Sunset Rd
Ste 410
Las Vegas, NV 89148
Phone (702) 300-8528

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1497432785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 SPANISH CREEK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134688",
            "telephone_number": "818-943-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE B1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063871",
            "telephone_number": "702-490-2398",
            "fax_number": "702-912-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGILINAN",
        "first_name": "PRINCESS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "866562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.