NPIMap

Individual provider Active NPI

Cesar Noel Sebastian Estillore, APN-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1649517970
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001455 Issued in NV
Practice address
4212 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone
(702) 312-2233
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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 APN001455 NV Primary

Addresses

Primary practice location

4212 W Charleston Blvd
Las Vegas, NV 89102-1625

Mailing address

9408 Grenville Ave
Las Vegas, NV 89134-6205
Phone (702) 236-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130530000507 NV Practitioner - Nurse Practitioner 9739252180 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Health Care LLCGroup PAC ID 3577560457, 29 clinicians

Practice addresses (Care Compare)

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
75.49
Improvement activities
40
Cost
73.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001455NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto C Chuapoco MD a Professional Corporation CurrentSince Mar 25, 2021 Accepting new patients
Saint Jude Associates LLC CurrentSince Jul 20, 2021 Accepting new patients
Pioneer Health Care LLC CurrentSince Oct 1, 2016 Accepting new patients
Saint Jude Medical Group LLC Home Doctors CurrentSince Mar 12, 2020 Accepting new patients
Mind Power Behavioral Services LLC CurrentSince Apr 1, 2021 Accepting new patients
RMN Healthcare Providers Corporation Family CurrentSince Mar 1, 2023 Accepting new patients
Henderson Hospital Past Accepting new patients
Mubder Health LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

871 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 830-9685

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3211 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 444-7796

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

3540 W Sahara Ave
Ste 330
Las Vegas, NV 89102
Phone (702) 945-2321

4412 W Charleston Blvd
Ste B
Las Vegas, NV 89102
Phone (702) 382-7753

4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

7500 W Lake Mead Blvd
#9171
Las Vegas, NV 89128

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 12

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 7

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1649517970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 GRENVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346205",
            "telephone_number": "702-236-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021625",
            "telephone_number": "702-312-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTILLORE",
        "first_name": "CESAR NOEL",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Mr.",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.