Individual provider Active NPI

Anna Jeanne Cibo, A.P.R.N

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1518439660
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
817867 Issued in NV
Practice address
517 Rose St
Las Vegas, NV 89106-4020
Phone
(702) 438-4692
Fax
(702) 485-2372
NPI assigned
Dec 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 817867 NV Primary

Addresses

Primary practice location

517 Rose St
Las Vegas, NV 89106-4020

Mailing address

PO Box 450709
Westlake, OH 44145-0614
Phone (702) 330-3102

Other practice location 1

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

Other practice location 2

1430 E Calvada Blvd Ste 200
Pahrump, NV 89048-5852
Phone (702) 438-4692

Other practice location 3

3930 W Ann Rd
North Las Vegas, NV 89031-3841
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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607001091 NV Practitioner - Nurse Practitioner 7012240989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7368 Augustine Bay St
Unit 101
North Las Vegas, NV 89084-3279

PO Box
Suite 450709
Westlake, OH 44145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
817867NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince Jul 12, 2023 Accepting new patients

Locations

861 Coronado Center Dr
Ste 131
Henderson, NV 89052
Phone (702) 478-5111

2011 Pinto Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 463-2981

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

9970 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 978-8900

7160 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 508-4096

1430 E Calvada Blvd
Ste 200
Pahrump, NV 89048
Phone (775) 257-7015

Organizations & group practices 1

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": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1518439660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450709",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450614",
            "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": "517 ROSE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064020",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "address_1": "1430 E Calvada Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485852",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "775-800-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 W Ann Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890313841",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIBO",
        "first_name": "ANNA",
        "middle_name": "JEANNE",
        "credential": "A.P.R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "817867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.