Individual provider Active NPI

Paula Denise Wabsis, APRN FNP-BC

  • Primary Care Nurse Practitioner
  • Pahrump, NV
National Provider Identifier
1720638422
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
822995 Issued in NV
Practice address
1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906
Phone
(775) 210-8333
Fax
(775) 346-9158
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 822995 NV Primary

Addresses

Primary practice location

1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906

Mailing address

1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906
Phone (775) 210-8333

Other practice location 1

1320 E Calvada Blvd
Pahrump, NV 89048-5692
Phone (775) 751-6111

Other practice location 2

1460 E Calvada Blvd
Pahrump, NV 89048-5822
Phone (775) 210-8333

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
I20200428002247 NV Practitioner - Nurse Practitioner 0648600999 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
822995NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pahrump Family Medical CurrentSince Oct 1, 2022 Accepting new patients
Pahrump Imaging LLC Past Accepting new patients
Img Laughlin PLLC PastSince Jan 21, 2022 Accepting new patients
Independent Medical Group, LLC PastSince Oct 27, 2019 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

1280 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 751-3377

Organizations & group practices 6

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1720638422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 E CALVADA BLVD STE 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483906",
            "telephone_number": "775-210-8333",
            "fax_number": "775-346-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E CALVADA BLVD STE 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483906",
            "telephone_number": "775-210-8333",
            "fax_number": "775-346-9158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 E Calvada Blvd",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485692",
            "country_code": "US",
            "telephone_number": "775-751-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 E Calvada Blvd",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485822",
            "country_code": "US",
            "telephone_number": "775-210-8333",
            "fax_number": "775-346-9158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WABSIS",
        "first_name": "PAULA",
        "middle_name": "DENISE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "822995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.