Active NPI
Nerissa C Cunanan Dimailig, APRN
- Primary Care Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN001122
- Practice address
- 2810 W Charleston Blvd Ste E48
Las Vegas, NV 89102-1921 - Phone
- (702) 878-5504
- Fax
- (702) 878-8206
- NPI assigned
- Feb 17, 2010
- Last updated
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN001122 | NV | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | APN001122 | NV |
Addresses
Primary practice location
2810 W Charleston Blvd Ste E48
Las Vegas, NV 89102-1921
Mailing address
2810 W Charleston Blvd Ste E48
Las Vegas, NV 89102-1921
Phone (702) 878-5504
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
871 Coronado Ctr Dr
Suite 200
Henderson, NV 89052-3977
Phone (702) 934-6441
Hospital & facility affiliations
- Ardent Home Health Care Agency Corp
- Helping Hand Home Health
- Caring One Home Health
- Corinthians of Nevada Health Care Inc
- Connolly Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 6.3 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN001122 | NV | MD | Primary Care Nurse Practitioner |
| APRN001122 | NV | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medinix Medical Services Singh PLLC | Current | Accepting new patients | |
| Saint Jude Medical Group LLC Home Doctors | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vegas Valley Primary Care | Current | Accepting new patients | |
| Apollocare Partners of Nevada, Inc. | Past | Accepting new patients | |
| Doina Roxana Jianu MD PLLC | Nurse Practitioner | Past | Accepting new patients |
| Saint Jude Associates LLC | Past | Accepting new patients | |
| Kathleen Wairimu MD PC | Past | Accepting new patients | |
| Radar Medical Group LLP | Nurse Practitioner | Past | Accepting new patients |
Locations
701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958
3021 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 646-5000
871 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 830-9685
1321 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 476-2287
2354 E Bonanza Rd
Las Vegas, NV 89101
Phone (702) 399-9161
2810 W Charleston Blvd
Ste E48
Las Vegas, NV 89102
Phone (702) 870-8994
3115 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 463-1804
4412 W Charleston Blvd
Ste B
Las Vegas, NV 89102
Phone (702) 382-7753
5915 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 362-9930
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
7855 Blue Diamond Rd
Ste 102
Las Vegas, NV 89178
Phone (702) 331-9464
8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113
8420 S Eastern Ave
Ste 101
Las Vegas, NV 89123
Phone (702) 385-6468
8880 W Sunset Rd
Ste 320
Las Vegas, NV 89148
Phone (702) 476-2287
9300 Sun City Blvd
Ste 101
Las Vegas, NV 89134
Phone (702) 341-9400
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 9
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.
-
dba Home Doctors
- Nurse Practitioner
- Henderson, NV
- NPI 1730713611
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1881706109
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, NV
-
dba Astrana Care of Nevada
- Family Medicine Physician
- Las Vegas, NV
- NPI 1164098810
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1316640618
-
dba Jianu Medical Clinic
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1467687038
Nurse Practitioner
-
dba Infection Doctors
- Infectious Disease Physician
- Las Vegas, NV
- NPI 1760581532
-
dba University Urgent Care
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1881888956
Nurse Practitioner
-
dba Saint Jude Hospice
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1568034528
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1972952521
-
- Home Health Agency
- Las Vegas, NV
- NPI 1992738595
-
dba Caring One Home Health
- Home Health Agency
- Las Vegas, NV
- NPI 1518619394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1629390786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W CHARLESTON BLVD STE E48",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021921",
"telephone_number": "702-878-5504",
"fax_number": "702-878-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W CHARLESTON BLVD STE E48",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021921",
"telephone_number": "702-878-5504",
"fax_number": "702-878-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNANAN DIMAILIG",
"first_name": "NERISSA",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NV",
"license": "APRN001122",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NV",
"license": "APN001122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.