Individual provider Active NPI

Noemi D Cabrera, APRN

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1558872986
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002705 Issued in NV
Practice address
2465 Reynolds Ave Ste 202
North Las Vegas, NV 89030-7296
Phone
(702) 381-0962
Fax
(702) 389-0048
NPI assigned
Oct 12, 2017
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 002705 NV Primary

Addresses

Primary practice location

2465 Reynolds Ave Ste 202
North Las Vegas, NV 89030-7296

Mailing address

2465 Reynolds Ave Ste 202
North Las Vegas, NV 89030-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180123003109 NV Practitioner - Nurse Practitioner 0143589960 Reassigns benefits to 5 organizations
I20260604004750 CA Practitioner - Nurse Practitioner 0143589960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

340 Falcon Ridge Pkwy
Suite 201
Mesquite, NV 89027-8851
Phone (702) 979-5966

PO Box
Mammoth Lakes, CA 93546-0660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002705NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
William P Jacks MD Chartered CurrentSince Mar 1, 2021 Accepting new patients
Guanaroca Medical Center Inc CurrentSince Mar 26, 2024 Accepting new patients
Millennium Healthcare LLC CurrentSince Jul 6, 2024 Accepting new patients
Emmanuel Medical Centers LLC Family CurrentSince Oct 6, 2024 Accepting new patients
Angeles Medical Centers LLC Family Past Accepting new patients
North Vista Hospital LLC PastSince Mar 1, 2021 Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

1815 W Charleston Blvd
Ste 1
Las Vegas, NV 89102
Phone (702) 405-7260

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

5130 S Pecos Rd
Ste 1A
Las Vegas, NV 89120
Phone (702) 527-5501

920 W Owens Ave
Ste B
Las Vegas, NV 89106
Phone (702) 205-0428

340 Falcon Ridge Pkwy
Ste 201
Mesquite, NV 89027
Phone (702) 979-5966

2031 McDaniel St
Ste 250
North Las Vegas, NV 89030
Phone (702) 649-9070

2465 Reynolds Ave
Ste 202
North Las Vegas, NV 89030
Phone (702) 381-0962

360 S Lola Ln
#B2
Pahrump, NV 89048

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Interoperability endpoints

  • Direct secure messaging: noemi.cabrera@87389088186372.direct.elationemr.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1558872986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 REYNOLDS AVE STE 202",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 REYNOLDS AVE STE 202",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307296",
            "telephone_number": "702-381-0962",
            "fax_number": "702-389-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "NOEMI",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "002705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.