Individual provider Active NPI

Noemi Noble Del Rosario

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1679817274
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001444 Issued in NV
Practice address
1905 McDaniel St Ste 105
North Las Vegas, NV 89030-7170
Phone
(702) 868-7777
Fax
(702) 260-0333
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 APN001444 NV Primary

Addresses

Primary practice location

1905 McDaniel St Ste 105
North Las Vegas, NV 89030-7170

Mailing address

1905 McDaniel St Ste 105
North Las Vegas, NV 89030-7170
Phone (702) 868-7777

Other identifiers 1

IdentifierTypeStateIssuer
1679817274MedicaidNV

Other names 1

  • Noemi Noble Del Rosario Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL referrals Health Information Exchange (HIE)

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
I20130313000327 NV Practitioner - Nurse Practitioner 0648425926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abhinav Sinha MD PCGroup PAC ID 3274629415, 3 clinicians

Practice addresses (Care Compare)

1905 McDaniel St
Suite 105
North Las Vegas, NV 89030-7170
Phone (702) 795-3430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001444NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jurani LLC CurrentSince Feb 28, 2022 Accepting new patients
North Vista Hospital LLC Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1679817274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MCDANIEL ST STE 105",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307170",
            "telephone_number": "702-868-7777",
            "fax_number": "702-260-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MCDANIEL ST STE 105",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307170",
            "telephone_number": "702-868-7777",
            "fax_number": "702-260-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "NOEMI",
        "middle_name": "NOBLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679817274",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "referrals",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1905 McDaniel St Ste 105",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890307170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NOEMI",
            "last_name": "DEL ROSARIO",
            "middle_name": "NOBLE",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.