Individual provider Active NPI

Michelle Arcilla Thiengtham, FNP-BC

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1699450429
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
868539 Issued in NV
Practice address
2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812
Phone
(702) 805-5678
Fax
(702) 268-7605
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 868539 NV Primary

Addresses

Primary practice location

2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812

Mailing address

2665 Skylark Trail St
Henderson, NV 89044-1869
Phone (702) 755-1147

Other practice location 1

2665 Skylark Trail St
Henderson, NV 89044-1869
Phone (702) 755-1147

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
I20240422002767 NV Practitioner - Nurse Practitioner 4284073339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2855 Saint Rose Pkwy
Suite 110
Herderson, NV 89052-4812

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Arcilla Aprn PLLC CurrentSince Apr 27, 2025 Accepting new patients
Priti Narula MD, PC CurrentSince Nov 20, 2025 Accepting new patients
Prime Cardiology Group PLLC CurrentSince Mar 26, 2025 Accepting new patients

Locations

2855 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 805-5678

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

2911 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 474-2460

5900 W Rochelle Ave
Las Vegas, NV 89103
Phone (702) 364-1111

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

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 5

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1699450429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 SKYLARK TRAIL ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441869",
            "telephone_number": "702-755-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524812",
            "telephone_number": "702-805-5678",
            "fax_number": "702-268-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 Skylark Trail St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890441869",
            "country_code": "US",
            "telephone_number": "702-755-1147",
            "fax_number": "855-314-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIENGTHAM",
        "first_name": "MICHELLE",
        "middle_name": "ARCILLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "868539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.