Individual provider Active NPI

Nerissa C Cunanan Dimailig, APRN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1629390786
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN001122 Issued in NV
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000339 NV Practitioner - Nurse Practitioner 9234260613 Reassigns benefits to 3 organizations

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

Merit-based Incentive Payment System (MIPS)

Final score
6.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001122NVMDPrimary Care Nurse Practitioner
APRN001122NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medinix Medical Services Singh PLLC CurrentSince Jul 1, 2023 Accepting new patients
Saint Jude Medical Group LLC Home Doctors Nurse Practitioner CurrentSince Mar 12, 2020 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 3, 2025 Accepting new patients
Vegas Valley Primary Care CurrentSince Feb 7, 2017 Accepting new patients
Apollocare Partners of Nevada, Inc. PastSince Jan 4, 2026 Accepting new patients
Doina Roxana Jianu MD PLLC Nurse Practitioner PastSince Jul 10, 2009 Accepting new patients
Saint Jude Associates LLC PastSince Jul 20, 2021 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.