Individual provider Active NPI

Krista Chantal Nelson, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669277513
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
887031 Issued in NV
Practice address
1900 N Nellis Blvd
Las Vegas, NV 89115-6743
Phone
(702) 227-4040
NPI assigned
Feb 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 887031 NV Primary

Addresses

Primary practice location

1900 N Nellis Blvd
Las Vegas, NV 89115-6743

Mailing address

1809 Sierra Oaks LN
Las Vegas, NV 89134-6628

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
I20251009003659 NV Practitioner - Nurse Practitioner 8628575032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor Medical, Inc.Group PAC ID 6204903792, 8 clinicians

Practice addresses (Care Compare)

2901 N Tenaya Way
Suite 100
Las Vegas, NV 89128-1404
Phone (702) 870-8852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
887031NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Medical, Inc. CurrentSince Jul 27, 2025 Accepting new patients
Safe Harbor Medical, Inc. CurrentSince Jul 27, 2025 Accepting new patients

Locations

2901 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 291-2151

Organizations & group practices 2

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1669277513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SIERRA OAKS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156743",
            "telephone_number": "702-227-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTA",
        "middle_name": "CHANTAL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "887031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.