Individual provider Active NPI

Sammy M Nzivo, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1730534215
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002206 Issued in NV
Practice address
6655 W Sahara Ave Ste A218
Las Vegas, NV 89146-0847
Phone
(725) 205-2457
Fax
(725) 240-7742
NPI assigned
May 3, 2016
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 APRN002206 NV Primary

Addresses

Primary practice location

6655 W Sahara Ave Ste A218
Las Vegas, NV 89146-0847

Mailing address

6655 W Sahara Ave Ste A218
Las Vegas, NV 89146-0847
Phone (725) 205-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160608001117 NV Practitioner - Nurse Practitioner 9638469380 Reassigns benefits to 2 organizations
Practice locations: Las Vegas, NV
I20250924002263 AZ Practitioner - Nurse Practitioner 9638469380 Reassigns benefits to 1 organization
Practice locations: Laveen, AZ
I20260317001165 NM Practitioner - Nurse Practitioner 9638469380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Laveen, AZ 85339
Phone (702) 605-3331

8327 Ivy Leaf St
Las Vegas, NV 89139-6834

PO Box
Suite 530815
Henderson, NV 89053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002206NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Health & Wellness Current Accepting new patients
Nexus Vitality Center CurrentSince Dec 9, 2025 Accepting new patients
Nexus Vitality Center PLLC CurrentSince Dec 14, 2025 Accepting new patients
Wound Care Management Group Family CurrentSince Aug 14, 2025 Accepting new patients

Locations

6001 Menaul Blvd NE
Unit 1107
Albuquerque, NM 87110
Phone (702) 945-8262

313 Pilot Rd
Ste B
Las Vegas, NV 89119
Phone (626) 709-6863

Organizations & group practices 5

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1730534215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE A218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460847",
            "telephone_number": "725-205-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE A218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460847",
            "telephone_number": "725-205-2457",
            "fax_number": "725-240-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZIVO",
        "first_name": "SAMMY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.