Individual provider Active NPI

Ike Michael Ekekwe, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699146464
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002045 Issued in NV
Practice address
1000 S Rainbow Blvd
Las Vegas, NV 89145-6231
Phone
(702) 871-5005
Fax
(702) 588-6967
NPI assigned
Oct 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 APRN002045 NV Primary

Addresses

Primary practice location

1000 S Rainbow Blvd
Las Vegas, NV 89145-6231

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

732 S 6th St # 5055
Las Vegas, NV 89101-6948
Phone (702) 208-2062

Other identifiers 2

IdentifierTypeStateIssuer
1699146464MedicaidNV
APRN002045OtherNVFNP LICENSE NUMBER

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
I20151228001734 NV Practitioner - Nurse Practitioner 3274834775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone (702) 871-5005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Medtrans Medical Nevada Casal PLLC Family Medicine CurrentSince Apr 12, 2021 Accepting new patients
Reliant Physicians (Kumar) PLLC Family Medicine CurrentSince Jan 29, 2024 Accepting new patients
Homebase Care Casal PLLC CurrentSince Apr 12, 2021 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

5412 Boulder Hwy
Las Vegas, NV 89122

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Interoperability endpoints

  • Direct secure messaging: ikeekekwe@hcpnv.allscriptsdirect.net

Organizations & group practices 6

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1699146464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456231",
            "telephone_number": "702-871-5005",
            "fax_number": "702-588-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 S 6th St # 5055",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891016948",
            "country_code": "US",
            "telephone_number": "702-208-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKEKWE",
        "first_name": "IKE",
        "middle_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699146464",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE NUMBER",
            "identifier": "APRN002045",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.