Individual provider Active NPI

Dolores M Chacon Rosell

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699375758
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
857437 Issued in NV
Practice address
3009 W Charleston Blvd Ste 120
Las Vegas, NV 89102-1943
Phone
(702) 798-7770
Fax
(702) 637-3396
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 857437 NV Primary

Addresses

Primary practice location

3009 W Charleston Blvd Ste 120
Las Vegas, NV 89102-1943

Mailing address

3009 W Charleston Blvd Ste 120
Las Vegas, NV 89102-1943
Phone (702) 798-7770

Other practice location 1

2610 S Jones Blvd Ste 1
Las Vegas, NV 89146-5635
Phone (702) 798-7770

Other identifiers 1

IdentifierTypeStateIssuer
1699375758MedicaidNV

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
I20250818004408 NV Practitioner - Nurse Practitioner 8527567379 Reassigns benefits to 3 organizations

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
Instant Care Medical GroupGroup PAC ID 6608372305, 2 clinicians
Andux Family Care PLLCGroup PAC ID 6103346390, 2 clinicians
Nibiru Medical Center LLCGroup PAC ID 2567906720, 3 clinicians

Practice addresses (Care Compare)

2610 S Jones Blvd
Suite 1
Las Vegas, NV 89146-5635
Phone (702) 798-7770

303 S Water St
Suite 200
Henderson, NV 89015-7308
Phone (702) 690-6936

3430 E Flamingo Rd
Suite 300
Las Vegas, NV 89121-5066
Phone (702) 637-7535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andux Family Care PLLC Family CurrentSince Jul 7, 2025 Accepting new patients
Nibiru Medical Center LLC CurrentSince Jan 1, 2026 Accepting new patients
Instant Care Medical Group CurrentSince Nov 1, 2025 Accepting new patients
Guanaroca Medical Center Inc PastSince Oct 10, 2021 Accepting new patients

Locations

303 S Water St
Ste 200
Henderson, NV 89015
Phone (702) 625-1879

3430 E Flamingo Rd
Ste 300
Las Vegas, NV 89121
Phone (702) 452-0044

2610 S Jones Blvd
Ste 1
Las Vegas, NV 89146
Phone (702) 750-2837

3505 E Harmon Ave
Ste A
Las Vegas, NV 89121
Phone (702) 690-6936

3009 W Charleston Blvd
#120
Las Vegas, NV 89102
Phone (702) 831-6670

2208 S Nellis Blvd
Ste 5
Las Vegas, NV 89104
Phone (702) 475-9000

Organizations & group practices 4

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1699375758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 W CHARLESTON BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021943",
            "telephone_number": "702-798-7770",
            "fax_number": "702-637-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 W CHARLESTON BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021943",
            "telephone_number": "702-798-7770",
            "fax_number": "702-637-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 S Jones Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465635",
            "country_code": "US",
            "telephone_number": "702-798-7770",
            "fax_number": "702-895-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON ROSELL",
        "first_name": "DOLORES",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "857437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699375758",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.