Individual provider Active NPI

Whisly NG, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1669107165
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
853705 Issued in NV
Practice address
9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605
Phone
(702) 888-3148
Fax
(702) 888-3158
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 853705 NV Primary

Addresses

Primary practice location

9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

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
I20220802001317 NV Practitioner - Nurse Practitioner 6608258009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

9065 S Pecos Rd
Suite 190
Las Vegas, NV 89119
Phone (702) 888-3148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
853705NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Nurse Practitioner CurrentSince Jul 19, 2022 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
P3 Health Partners Professional Services PC Nurse Practitioner Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

880 Seven Hills Dr
Ste 140
Henderson, NV 89052
Phone (702) 844-4840

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

9280 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 256-1600

340 Falcon Ridge Pkwy
Ste 201
Mesquite, NV 89027
Phone (702) 979-5966

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Interoperability endpoints

  • Direct secure messaging: whisly.ng.1@17520.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1669107165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 S PECOS RD STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746605",
            "telephone_number": "702-888-3148",
            "fax_number": "702-888-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "WHISLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "853705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.