Individual provider Active NPI

Avelina Villosillo Coleman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1720454374
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN0001990 Issued in NV
Practice address
11860 Southern Highlands Parkway, Suite 102
Las Vegas, NV 89141
Phone
(702) 383-2273
Fax
(702) 224-7180
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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 APRN0001990 NV Primary

Addresses

Primary practice location

11860 Southern Highlands Parkway, Suite 102
Las Vegas, NV 89141

Mailing address

1800 W. Charleston Blvd. Ste. 508
Las Vegas, NV 89102
Phone (702) 383-2688

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
I20160810001713 NV Practitioner - Nurse Practitioner 3870887029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Medical Group LLCGroup PAC ID 1850803792, 3 clinicians
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89103
Phone (702) 758-7628

585 College Dr
Suite C
Henderson, NV 89015-1542
Phone (725) 777-3200

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as apm
Quality
84.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN0001990NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Dec 12, 2024 Accepting new patients
A V Coleman LLC Nurse Practitioner CurrentSince Jul 15, 2025 Accepting new patients
Comprehensive Medical Group LLC Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

585 College Dr
Ste C
Henderson, NV 89015
Phone (725) 777-3200

3867 S Valley View Blvd
Ste 3
Las Vegas, NV 89103
Phone (702) 758-7628

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

Interoperability endpoints

  • Direct secure messaging: avelina.coleman.1@25839.direct.athenahealth.com

Organizations & group practices 3

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1720454374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD. STE. 508",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2688",
            "fax_number": "702-671-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 SOUTHERN HIGHLANDS PARKWAY, SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "702-383-2273",
            "fax_number": "702-224-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "AVELINA",
        "middle_name": "VILLOSILLO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN0001990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.