Active NPI
Megan Vitellaro, DNP
- Gerontology Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 841122
- Practice address
- 8350 W Badura Ave 1St FL Ste a
Las Vegas, NV 89113-2383 - Phone
- (702) 968-7211
- Fax
- (702) 405-1860
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 841122 | NV | Primary |
| Nurse Practitioner | 363L00000X | 3015063 | KY | |
| Nurse Practitioner | 363L00000X | 841122 | NV | |
| Nurse Practitioner | 363L00000X | 95015963 | CA |
Addresses
Primary practice location
8350 W Badura Ave 1St FL Ste a
Las Vegas, NV 89113-2383
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841122 | Other | NV | STATE LICENSE |
| 1760085070 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 735-7154
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015963 | CA | MD | Nurse Practitioner |
| 3015063 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | Past | Accepting new patients | |
| Intermountain Medical Holding Nevada, Inc. | Past | Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
8285 W Arby Ave
Ste 100B
Las Vegas, NV 89113
Phone (702) 432-3224
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- megan.vitellaro@directaddress.net
- mark.vellek@directaddress.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1902883341
-
- Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1326261298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1760085070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 W BADURA AVE 1ST FL STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132383",
"telephone_number": "702-968-7211",
"fax_number": "702-405-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITELLARO",
"first_name": "MEGAN",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "841122",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3015063",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "841122",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95015963",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "841122",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760085070",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.