Individual provider Active NPI

Joel C Virtudazo, FNP-C.FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1700677887
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
890078 Issued in NV
Practice address
26 Snow Pond Ave
Las Vegas, NV 89183-5137
Phone
(702) 682-7267
NPI assigned
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 890078 NV Primary

Addresses

Primary practice location

26 Snow Pond Ave
Las Vegas, NV 89183-5137

Mailing address

26 Snow Pond Ave
Las Vegas, NV 89183-5137
Phone (702) 682-7267

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
I20250904002255 NV Practitioner - Nurse Practitioner 0244732725 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Health System LLCGroup PAC ID 7719218544, 6 clinicians
Advanced Care and Wellness Center LLCGroup PAC ID 8527508340, 8 clinicians
Hollistic Wound Care of Las Vegas PLLCGroup PAC ID 8628593605, 3 clinicians

Practice addresses (Care Compare)

2685 S Rainbow Blvd
Suite 201
Las Vegas, NV 89146-5189
Phone (702) 222-4339

855 E Twain Ave
Suite 103
Las Vegas, NV 89169-0820
Phone (702) 591-3381

8879 W Flamingo Rd
Suite 101
Las Vegas, NV 89147-8732
Phone (480) 526-0919

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Wound Care LLC CurrentSince Aug 20, 2025 Accepting new patients
Priority Health System LLC CurrentSince Sep 1, 2025 Accepting new patients
Excellence Health Consulting LLC CurrentSince Aug 1, 2025 Accepting new patients
Healthwise LLC CurrentSince Aug 1, 2025 Accepting new patients
Acuity Medical Group LLC CurrentSince Feb 15, 2026 Accepting new patients

Locations

2685 S Rainbow Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 222-4339

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

8879 W Flamingo Rd
Ste 101
Las Vegas, NV 89147
Phone (702) 595-6462

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1700677887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SNOW POND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835137",
            "telephone_number": "702-682-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SNOW POND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835137",
            "telephone_number": "702-682-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRTUDAZO",
        "first_name": "JOEL",
        "middle_name": "C",
        "credential": "FNP-C.FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "890078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.