Individual provider Active NPI

Mylene Agreda

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1568031235
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
840958 Issued in NV
Practice address
1081 S Cimarron Rd Ste B5
Las Vegas, NV 89145-2454
Phone
(702) 541-4698
Fax
(702) 268-8776
NPI assigned
Jun 17, 2021
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 840958 NV Primary

Addresses

Primary practice location

1081 S Cimarron Rd Ste B5
Las Vegas, NV 89145-2454

Mailing address

8560 S Eastern Ave Ste 160
Las Vegas, NV 89123-2848
Phone (702) 541-4698

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
I20210915002430 NV Practitioner - Nurse Practitioner 9638575715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mandt MSDLGroup PAC ID 5991867269, 6 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89145
Phone (702) 749-8885

8560 S Eastern Ave
Suite 160
Las Vegas, NV 89123-2848
Phone (702) 738-5428

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
840958NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&T MSDL Infectious Disease CurrentSince Jul 16, 2021 Accepting new patients
Myenp LLC Current Accepting new patients
Agreda Health LLC CurrentSince Feb 15, 2026 Accepting new patients
Acuity Medical Group LLC CurrentSince Feb 15, 2026 Accepting new patients

Locations

1081 S Cimarron Rd
Ste B2
Las Vegas, NV 89145

1081 S Cimarron Rd
Ste B5
Las Vegas, NV 89145
Phone (702) 609-9695

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

8560 S Eastern Ave
Ste 160
Las Vegas, NV 89123
Phone (702) 541-4698

8879 W Flamingo Rd
Ste 101
Las Vegas, NV 89147
Phone (702) 595-6462

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.

Hospital & facility affiliations 1

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1568031235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 S EASTERN AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232848",
            "telephone_number": "702-541-4698",
            "fax_number": "702-268-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 S CIMARRON RD STE B5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452454",
            "telephone_number": "702-541-4698",
            "fax_number": "702-268-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGREDA",
        "first_name": "MYLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "840958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.