Organization Active NPI

Aruga Health PLLC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699577759
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ARUGA HEALTH PLLC
Practice address
3545 S Fort Apache Rd Ste 130
Las Vegas, NV 89147-3441
Phone
(702) 553-1643
Fax
(702) 718-7991
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Ma Mariane Gondraneos Reyes, APRNNPI 1902580871
Title
Founder, Member
Phone
(702) 553-1643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

3545 S Fort Apache Rd Ste 130
Las Vegas, NV 89147-3441

Mailing address

3545 S Fort Apache Rd Ste 130
Las Vegas, NV 89147-3441
Phone (702) 553-1643

Other names 2

  • ARUGA HEALTH FAMILY PRACTICE Doing business as
  • ARUGA HEALTH WOUND CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523002674 NV Part B Supplier - Clinic/Group Practice 8022537828 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2341077Aruga Health Family Practice3545 S Fort Apache Rd Ste 130-135, Las Vegas, NV 89147Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

3545 S Fort Apache Rd
Ste 130
Las Vegas, NV 89147
Phone (702) 553-1643

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1699577759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891473441",
            "telephone_number": "702-553-1643",
            "fax_number": "702-718-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891473441",
            "telephone_number": "702-553-1643",
            "fax_number": "702-718-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUGA HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MA MARIANE",
        "authorized_official_middle_name": "GONDRANEOS",
        "authorized_official_title_or_position": "FOUNDER, MEMBER",
        "authorized_official_telephone_number": "702-553-1643",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARUGA HEALTH FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARUGA HEALTH WOUND CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARUGA HEALTH WOUND CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.