Individual provider Active NPI

Genus Sarabia, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1720647944
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
819899 Issued in NV
Practice address
3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone
(702) 309-2311
Fax
(702) 309-2177
NPI assigned
Jun 11, 2019
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 819899 NV Primary

Addresses

Primary practice location

3483 S Eastern Ave
Las Vegas, NV 89169-3314

Mailing address

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Other practice location 1

2931 N Tenaya Way Ste 204
Las Vegas, NV 89128-0458
Phone (702) 309-2311

Other identifiers 1

IdentifierTypeStateIssuer
APRN819899OtherNVAPRN LICENSE

Other names 1

  • Genus Roberts Former name

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
I20200522000462 NV Practitioner - Nurse Practitioner 6507287836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald a Shockley MD a Professional CorporationGroup PAC ID 7810094976, 6 clinicians

Practice addresses (Care Compare)

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
57.16
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
819899NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arasiba LLC Family Current Accepting new patients
Ronald a Shockley MD a Professional Corporation CurrentSince Mar 1, 2020 Accepting new patients

Locations

2931 N Tenaya Way
Ste 204
Las Vegas, NV 89128
Phone (702) 233-2123

3121 S Maryland Pkwy
Ste 412
Las Vegas, NV 89109
Phone (702) 309-2311

3483 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 309-2311

Organizations & group practices 2

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1720647944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 N Tenaya Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280458",
            "country_code": "US",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARABIA",
        "first_name": "GENUS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "819899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN819899",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENUS",
            "last_name": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.