Individual provider Active NPI

Vivencio C Navarro, MSN, ANP-BC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1750532131
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001049 Issued in NV
Practice address
2000 Wellness Way
Las Vegas, NV 89106-4113
Phone
(702) 384-5101
Fax
(702) 387-0104
NPI assigned
Oct 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001049 NV Primary

Addresses

Primary practice location

2000 Wellness Way
Las Vegas, NV 89106-4113

Mailing address

PO Box 81345
Las Vegas, NV 89180-1345
Phone (702) 384-5101

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
I20081203000406 NV Practitioner - Nurse Practitioner 6709947278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Associates IncGroup PAC ID 8729989074, 13 clinicians

Practice addresses (Care Compare)

1815 E Lake Mead Blvd
Suite 203
N Las Vegas, NV 89030-7189
Phone (702) 384-5101

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

Merit-based Incentive Payment System (MIPS)

Final score
66.66 of 100Reported as group
Quality
64.36
Promoting interoperability
0
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Bariatrics Mustafa Ahmed MD Facs PLLC CurrentSince Jun 1, 2016 Accepting new patients
N4 Medical Services & Consulting LLC Current Accepting new patients
Frontline Medical Group LLC Past Accepting new patients

Locations

1815 E Lake Mead Blvd
Ste 203
North Las Vegas, NV 89030
Phone (702) 384-5101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHCBCA
  • FHIR API: https://api.platform.athenahealth.com/16797/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1750532131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891801345",
            "telephone_number": "702-384-5101",
            "fax_number": "702-382-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064113",
            "telephone_number": "702-384-5101",
            "fax_number": "702-387-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "VIVENCIO",
        "middle_name": "C",
        "credential": "MSN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.