Individual provider Active NPI

Gisela Chin, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1760131486
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
851845 Issued in NV
Practice address
5741 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-5622
Phone
(702) 798-0111
Fax
(866) 333-0436
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 851845 NV Primary

Addresses

Primary practice location

5741 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-5622

Mailing address

5130 S Fort Apache Rd Ste 215
Las Vegas, NV 89148-1732
Phone (702) 798-0111

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
I20220623001988 NV Practitioner - Nurse Practitioner 0042699944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vishal Gandotra MD IncGroup PAC ID 6800955410, 9 clinicians

Practice addresses (Care Compare)

5701 W Charleston Blvd
Suite 201
Las Vegas, NV 89146-0903
Phone (702) 750-0313

Merit-based Incentive Payment System (MIPS)

Final score
94.34 of 100Reported as group
Quality
100
Promoting interoperability
97
Improvement activities
40
Cost
66.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851845NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pouya Mohajer MD LTD CurrentSince Jun 1, 2022 Accepting new patients
Pouya Mohajer MD LTD CurrentSince Jun 1, 2022 Accepting new patients
Vishal Gandotra MD PC CurrentSince Jan 25, 2025 Accepting new patients

Locations

5701 W Charleston Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 750-0313

5741 S Fort Apache Rd
Ste 120
Las Vegas, NV 89148
Phone (725) 220-4766

6850 N Durango Dr
Ste 302
Las Vegas, NV 89149
Phone (702) 750-0313

1930 Village Center Cir
Ste 3448
Las Vegas, NV 89134

5130 S Fort Apache Rd
Ste 215
Las Vegas, NV 89148

1905 Civic Center Dr
Ste 101
North Las Vegas, NV 89030
Phone (702) 649-3739

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1760131486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S FORT APACHE RD STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481732",
            "telephone_number": "702-798-0111",
            "fax_number": "866-333-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 S FORT APACHE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485622",
            "telephone_number": "702-798-0111",
            "fax_number": "866-333-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "GISELA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "851845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.