Active NPI
Angela Alesi
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1760411318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN815670
- Practice address
- 911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381 - Phone
- (702) 405-8088
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP04572 | LA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN815670 | NV | Primary |
Addresses
Primary practice location
911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381
Mailing address
PO Box 752003
Las Vegas, NV 89136-2003
Phone (337) 504-2332
Other practice location 1
4906 Ambassador Caffery Pkwy
Bldg K Suite 1100
Lafayette, LA 70508-6962
Phone (337) 504-2332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4H442CU00 | Other | MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190717003133 | NV | Practitioner - Nurse Practitioner | 1557301579 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Changing Minds Psychiatry LLC
Practice addresses (Care Compare)
911 N Buffalo Dr
Las Vegas, NV 89128-0381
Phone (702) 405-8088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04572 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN815670 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psycare LLC | Single Specialty | Past | Accepting new patients |
| Psych Services LLC | Single Specialty | Past | Accepting new patients |
| Gad Psychiatric Group Inc | Single Specialty | Past | Accepting new patients |
| Changing Minds Psychiatry LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Memphis Psychiatric and Addiction Clinic, PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1821537242
NV
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1760993117
Psychiatric/Mental Health
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Memphis, TN
- NPI 1235187949
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1760411318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 752003",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891362003",
"telephone_number": "337-504-2332",
"fax_number": "337-504-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N BUFFALO DR UNIT 213",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280381",
"telephone_number": "702-405-8088"
}
],
"practiceLocations": [
{
"address_1": "4906 Ambassador Caffery Pkwy",
"address_2": "Bldg K Suite 1100",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705086962",
"country_code": "US",
"telephone_number": "337-504-2332",
"fax_number": "337-504-4748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALESI",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "AP04572",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "APRN815670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "4H442CU00",
"state": null
}
],
"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 Oct 9, 2019; 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.