Mailo K. Brantner, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002004 Issued in NV

Practice address

2298 W Horizon Ridge Pkwy Ste 209
Henderson, NV 89052-2698

Phone

(702) 660-4050

Fax

(702) 660-4069

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mailo K. Yang Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mailo.brantner.1@14940.direct.athenahealth.com

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.

• Kim Chen PLLC

  dba Comprehensive Digestive Institute of Nevada

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1881078418
  Medicare reassignment NPD
• Nucanvas Aesthetics and Wellness Center PLLC

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1467192138
  NPD Authorized official

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1558739110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY STE 209",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522698",
            "telephone_number": "702-660-4050",
            "fax_number": "702-660-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY STE 209",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522698",
            "telephone_number": "702-660-4050",
            "fax_number": "702-660-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Seven Hills Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524372",
            "country_code": "US",
            "telephone_number": "702-844-4840",
            "fax_number": "702-844-4843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3369 NE Stephens St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974701200",
            "country_code": "US",
            "telephone_number": "541-677-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 NW Medical Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974715545",
            "country_code": "US",
            "telephone_number": "517-537-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2082 11th Ave E",
            "address_purpose": "LOCATION",
            "city": "North Saint Paul",
            "state": "MN",
            "postal_code": "551095112",
            "country_code": "US",
            "telephone_number": "702-660-4050",
            "fax_number": "702-660-4069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 12th St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022282",
            "country_code": "US",
            "telephone_number": "971-701-9058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 E Williams Cir Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117407",
            "country_code": "US",
            "telephone_number": "520-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANTNER",
        "first_name": "MAILO",
        "middle_name": "K.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP10459",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "APRN002004",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558739110",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAILO",
            "last_name": "YANG",
            "middle_name": "K.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Louis Brana, LCPC, LCADC
• Kenneth Brandt, D.O.
• Stephanie Branom
• Stefanie Brant
• De Leon Brantley
• Julie S Braun, PA
• Tatra Bray
• Breastfeeding & Doulas of NV LC
• Breathe Free Allergy & Sinus Centers of Nevada
• Albert Paul Breaux

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.