Individual provider Active NPI

Abel Perez de la Iglesia

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1528889003
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
884010 Issued in NV
Practice address
1610 E Lake Mead Blvd
North Las Vegas, NV 89030-7145
Phone
(702) 476-9999
NPI assigned
Oct 17, 2024
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 884010 NV Primary

Addresses

Primary practice location

1610 E Lake Mead Blvd
North Las Vegas, NV 89030-7145

Mailing address

9033 W Sahara Ave
Las Vegas, NV 89117-5745
Phone (702) 476-9999

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003612 NV Practitioner - Pain Management 0648706333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coppel Medical Enterprise LLCGroup PAC ID 8921140641, 20 clinicians

Practice addresses (Care Compare)

1610 E Lake Mead Blvd
North Las Vegas, NV 89030-7145
Phone (702) 476-9999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coppel Medical Enterprise LLC CurrentSince Jan 1, 2025 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
North Vista Hospital LLC PastSince Dec 1, 2024 Accepting new patients

Locations

2809 W Charleston Blvd
#150
Las Vegas, NV 89102
Phone 70247699997014

2809 W Charleston Blvd
Ste 150
Las Vegas, NV 89102

9033 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 478-1878

1610 E Lake Mead Blvd
North Las Vegas, NV 89030

Interoperability endpoints

  • Direct secure messaging: abel.perezdelaiglesia@5193.chartlogic.direct-ci.com

Organizations & group practices 3

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1528889003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175745",
            "telephone_number": "702-476-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307145",
            "telephone_number": "702-476-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LA IGLESIA",
        "first_name": "ABEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "884010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.