Individual provider Active NPI

Joanne Balsicas Agregado, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1700582178
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
864371 Issued in NV
Practice address
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone
(702) 803-5534
Fax
(702) 805-6089
NPI assigned
Feb 6, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 864371 NV Primary

Addresses

Primary practice location

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615

Mailing address

4004 Dale Evans Dr
Las Vegas, NV 89108-5515
Phone (443) 207-3291

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
I20230505002332 NV Practitioner - Nurse Practitioner 3476918962 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaj Skin and Wellness Center LLCGroup PAC ID 3173939170, 2 clinicians
Innovative Wound Management LLCGroup PAC ID 7719414317, 3 clinicians

Practice addresses (Care Compare)

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8872
Phone (408) 833-3158

315 Whispering Tree Ave
Las Vegas, NV 89183-4266
Phone (702) 637-2180

8551 W Lake Mead Blvd
Suite 200
Las Vegas, NV 89128-7642
Phone (725) 300-0603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.18 of 100Reported as group
Quality
57.84
Improvement activities
40
Cost
43.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Physicians (Kumar) PLLC CurrentSince Apr 1, 2023 Accepting new patients
Imaj Skin & Wellness Center LLC Family CurrentSince Jan 10, 2026 Accepting new patients
Naz Wahab MD PC Family CurrentSince Apr 1, 2023 Accepting new patients
Premier Health Partners LLC CurrentSince Jun 16, 2025 Accepting new patients
Innovative Wound Management, LLC Family CurrentSince Nov 1, 2025 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10161 Park Run Dr
Ste 150
Las Vegas, NV 89145
Phone (408) 833-3158

2851 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 309-4878

4815 W Russell Rd
Ste 10J
Las Vegas, NV 89118
Phone (702) 637-2180

6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700

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

8551 W Lake Mead Blvd
Ste 200
Las Vegas, NV 89128
Phone (702) 869-8720

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1700582178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 DALE EVANS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085515",
            "telephone_number": "443-207-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534",
            "fax_number": "702-805-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGREGADO",
        "first_name": "JOANNE",
        "middle_name": "BALSICAS",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "864371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.