Individual provider Active NPI

Christian Louis Coronel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1710687694
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
837591 Issued in NV
Practice address
3675 Pecos McLeod Ste 700
Las Vegas, NV 89121-3811
Phone
(702) 356-2921
Fax
(702) 356-2922
NPI assigned
Mar 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 837591 NV Primary

Addresses

Primary practice location

3675 Pecos McLeod Ste 700
Las Vegas, NV 89121-3811

Mailing address

911 N Buffalo Dr Unit 206
Las Vegas, NV 89128-0381
Phone (702) 405-8088

Other practice location 1

911 N Buffalo Dr Unit 206
Las Vegas, NV 89128-0381
Phone (702) 405-8088

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
I20230524003271 NV Practitioner - Nurse Practitioner 5991161598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hygeia Wellness Center LLCGroup PAC ID 0042670218, 5 clinicians
Evolve Wellness Professional CorpGroup PAC ID 5193244051, 4 clinicians

Practice addresses (Care Compare)

2810 W Charleston Blvd
Suite 77
Las Vegas, NV 89102-1910
Phone (702) 445-6323

3675 Pecos McLeod
Suite 700
Las Vegas, NV 89121-3811
Phone (702) 356-2921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
837591NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Wellness Professional Corp CurrentSince May 1, 2026 Accepting new patients
Hygeia Wellness Center LLC Psychiatric/Mental Health CurrentSince Jul 17, 2024 Accepting new patients
Changing Minds Psychiatry LLC Psychiatric/Mental Health PastSince Mar 12, 2023 Accepting new patients

Locations

2810 W Charleston Blvd
Ste 77
Las Vegas, NV 89102
Phone (702) 445-6323

3675 Pecos McLeod
Ste 700
Las Vegas, NV 89121
Phone (702) 356-2921

2810 W Charleston Blvd
Ste H77
Las Vegas, NV 89102
Phone (702) 258-3315

6859 S Eastern Ave
Ste 103
Las Vegas, NV 89119
Phone (702) 236-2078

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1710687694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "702-405-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 PECOS MCLEOD STE 700",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213811",
            "telephone_number": "702-356-2921",
            "fax_number": "702-356-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 N Buffalo Dr Unit 206",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280381",
            "country_code": "US",
            "telephone_number": "702-405-8088",
            "fax_number": "702-405-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONEL",
        "first_name": "CHRISTIAN LOUIS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "837591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.