Mariclar V Osorio, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

881677 Issued in NV

Practice address

6847 W Charleston Blvd Ste B
Las Vegas, NV 89117-1648

Phone

(725) 205-1578

Fax

(725) 485-3749

NPI assigned

Nov 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mariclar O Newell Other name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enlightenment LLCGroup PAC ID 0446797112, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Enlightenment, LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1902648496
  Medicare reassignment Care Compare group NPD
• Better Care Med Group LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1811787005

  Multi-Specialty

  Medicare reassignment NPD
• JD Medical Group LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1881579910

  Multi-Specialty

  Medicare reassignment NPD
• JD Medical Group, LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1376307058

  Multi-Specialty

  Medicare reassignment NPD
• JD Medical Behavioral Health Corp

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1437019759
  Medicare reassignment
• Jefferson County Public Health

  • Community Health Clinic/Center
  • Lakewood, CO
  • NPI 1225309081
  NPD (past) Authorized official
• Abide Health Medical a Professional Corp.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1447034871

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1669717732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171648",
            "telephone_number": "725-205-1578",
            "fax_number": "725-485-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171648",
            "telephone_number": "725-205-1578",
            "fax_number": "725-485-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "MARICLAR",
        "middle_name": "V",
        "name_prefix": "Miss",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "881677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARICLAR",
            "last_name": "NEWELL",
            "middle_name": "O",
            "prefix": "MRS.",
            "credential": "APRN,PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Genesis Osorio-Espinoza
• Isabel Osorio
• Joseph Osorio
• Lilunia Osorio
• Luz Pinta Osorio
• Miriam Osorio
• Suzanne K. Osowski
• Osp LLC
• Osteopathic Medical Associates of Nevada
• Paisley Oster, MMS, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.