Mikaela Angela Badoria Candolesas, APRN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

879696 Issued in NV

Practice address

38 S Water St Ste 310
Henderson, NV 89015-7493

Phone

(702) 240-6482

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nevada Heart and Vascular Center Resh LLPGroup PAC ID 5395746283, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
• Henderson Hospital Hospital, Henderson, NV, CCN 290057

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mikaela.angela.candolesas.1@29724.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Prestige Family Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1568011815

  Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Nevada Heart and Vascular Center Resh LLP

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1659387934
  Medicare reassignment Care Compare group NPD
• Agreda Health LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1639021165
  Medicare reassignment NPD
• Hollistic Wound Care of Las Vegas PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1992513899
  Medicare reassignment NPD
• Nevada Intensive Care Experts, a Multi Specialty PLLC

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1427892546
  Medicare reassignment NPD
• Nevada Heart and Vascular Center Resh LLP

  • Cardiac Rehabilitation Registered Nurse
  • Las Vegas, NV
  • NPI 1891482113
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1295319085

  Hospital

  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942991245

  Hospital

  Care Compare affiliation
• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  Care Compare affiliation
• Henderson Hospital

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1285490292

  Hospital

  Care Compare affiliation
• Henderson Hospital

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1376198028

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1750135026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-240-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S WATER ST STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157493",
            "telephone_number": "702-240-6482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092317",
            "country_code": "US",
            "telephone_number": "725-300-4168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDOLESAS",
        "first_name": "MIKAELA ANGELA",
        "middle_name": "BADORIA",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "879696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Campfield Faulkner
• Jasmine Campos, BA
• Davidson Cielo Canaveral, ATC
• Lori Candela
• Katherine Candelaria, BCBA
• Fay Reneigh Cane
• Diane Cannon
• Cano Health Nevada PLLC
• Joann Cano-Legar
• Roberto Cantillep

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.