Individual provider Active NPI

Joanna Sordan Dela Pena, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1619625225
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021118355 Issued in NV
Practice address
11009 Meadow Leaf Ave
Las Vegas, NV 89144-4564
Phone
(702) 601-6221
NPI assigned
Mar 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021118355 NV Primary
Registered Nurse 163W00000X RN98064 NV

Addresses

Primary practice location

11009 Meadow Leaf Ave
Las Vegas, NV 89144-4564

Mailing address

11009 Meadow Leaf Ave
Las Vegas, NV 89144-4564
Phone (702) 601-6221

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
I20220608000947 NV Practitioner - Nurse Practitioner 0547648289 Reassigns benefits to 4 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
Advanced Care and Wellness Center LLCGroup PAC ID 8527508340, 8 clinicians

Practice addresses (Care Compare)

855 E Twain Ave
Suite 103
Las Vegas, NV 89169-0820
Phone (702) 591-3381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021118355NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Alliance Inc. CurrentSince Oct 1, 2023 Accepting new patients
Get Well House Calls LLC CurrentSince Oct 1, 2024 Accepting new patients
State of Nevada CurrentSince Sep 16, 2024 Accepting new patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Sep 16, 2024 Accepting new patients
Advanced Care & Wellness Center LLC Family CurrentSince Nov 22, 2024 Accepting new patients
Instamobile Gregbairdnv PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

9510 W Sahara Ave
Ste 225
Las Vegas, NV 89117
Phone (702) 518-5144

6268 Spring Mountain Rd
Ste 115
Las Vegas, NV 89146
Phone (725) 204-1017

855 E Twain Ave
Ste 103
Las Vegas, NV 89169
Phone (702) 591-3381

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

3160 S Valley View Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 693-4202

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1619625225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 MEADOW LEAF AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444564",
            "telephone_number": "702-601-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 MEADOW LEAF AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444564",
            "telephone_number": "702-601-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA PENA",
        "first_name": "JOANNA",
        "middle_name": "SORDAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "2021118355",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN98064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.