Individual provider Active NPI

Mirela Popovic, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1720403447
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001622 Issued in NV
Practice address
5440 W Sahara Ave # 302
Las Vegas, NV 89146-0355
Phone
(702) 633-0207
Fax
(702) 633-0254
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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 APRN001622 NV Primary

Addresses

Primary practice location

5440 W Sahara Ave # 302
Las Vegas, NV 89146-0355

Mailing address

2031 McDaniel St
Ste 210
North Las Vegas, NV 89030-6309
Phone (702) 633-0207

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
I20140610001156 NV Practitioner - Nurse Practitioner 7719101955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kim Chen PLLCGroup PAC ID 3971813379, 18 clinicians

Practice addresses (Care Compare)

9260 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4903
Phone (702) 483-4483

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.39 of 100Reported as group
Quality
96.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001622NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Chen PLLC CurrentSince Nov 5, 2022 Accepting new patients

Locations

9260 W Sunset Rd
Ste 306
Las Vegas, NV 89148
Phone (702) 483-4483

Organizations & group practices 1

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 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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1720403447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST",
            "address_2": "STE 210",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306309",
            "telephone_number": "702-633-0207",
            "fax_number": "702-633-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE # 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460355",
            "telephone_number": "702-633-0207",
            "fax_number": "702-633-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVIC",
        "first_name": "MIRELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.