Dennise Anne Vicencio, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11038102 Issued in FL

Practice address

1725 S Rainbow Blvd Ste 17
Las Vegas, NV 89146-2970

Phone

(702) 473-9600

NPI assigned

Feb 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nem-Care LLC

  dba Nem Medical Center

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1750006458
  NPD
• Nem-Care LLC

  dba Nem Medical Center

  • Family Medicine Physician
  • N Las Vegas, NV
  • NPI 1194019067
  NPD (past)
• Nem-Care LLC

  • Family Medicine Physician
  • N Las Vegas, NV
  • NPI 1598802092
  NPD (past)

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1659176758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HOYT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043939",
            "telephone_number": "702-358-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S RAINBOW BLVD STE 17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462970",
            "telephone_number": "702-473-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENCIO",
        "first_name": "DENNISE",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teodorico Vianzon
• Ryan Rooney Viator, CADC
• Melody A Vicari-Warner, R.D.
• Amado Dizon Vicencio Jr., BA
• Anne Marie Vicencio, DC
• Vanessa Klein Vicencio, RRT
• Virginia Vicencio
• Iluminada Vicente Correa
• Yulima Vicente Vidal
• Abraham Vicente

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.