Individual provider Active NPI

Michele Mancini, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1639876675
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
863503 Issued in NV
Practice address
700 Shadow LN Ste 165
Las Vegas, NV 89106-4158
Phone
(702) 522-9640
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 863503 NV Primary

Addresses

Primary practice location

700 Shadow LN Ste 165
Las Vegas, NV 89106-4158

Mailing address

700 Shadow LN Ste 165
Las Vegas, NV 89106-4158
Phone (702) 522-9640

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
I20231024003555 NV Practitioner - Nurse Practitioner 6507212701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Suite 220
Las Vegas, NV 89102-2353
Phone (702) 671-6412

517 Rose St
Las Vegas, NV 89106-4020
Phone (702) 438-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
863503NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Sep 27, 2023 Accepting new patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Unlv Medicine CurrentSince Sep 27, 2023 Accepting new patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

517 Rose St
Las Vegas, NV 89106
Phone (702) 366-1206

1707 W Charleston Blvd
Ste 22010
Las Vegas, NV 89102

700 Shadow Ln
Ste 165
Las Vegas, NV 89106
Phone (702) 522-9640

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1639876675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN STE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064158",
            "telephone_number": "702-522-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN STE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064158",
            "telephone_number": "702-522-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "MICHELE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "863503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.