Individual provider Active NPI

Regina Centeno

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1770358236
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
816537 Issued in NV
Practice address
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone
(954) 683-2276
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 816537 NV Primary

Addresses

Primary practice location

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859

Mailing address

5782 Mia Skye St
Las Vegas, NV 89148-5353
Phone (954) 683-2276

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
I20240205004228 NV Practitioner - Nurse Practitioner 8921441189 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Post-Acute Medical Services-Scherr 1 P.CGroup PAC ID 7012292634, 18 clinicians

Practice addresses (Care Compare)

6352 Medical Ctr St
Las Vegas, NV 89148-2413
Phone (702) 541-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
816537NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Jan 29, 2024 Accepting new patients
CS Pacs 3 West LLC CurrentSince Oct 6, 2024 Accepting new patients
Wound Rescue Specialist Nurse Practitioner CurrentSince Jul 31, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 29, 2024 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Feb 4, 2024 Accepting new patients

Locations

275 W Hospitality Ln
Ste 317
Sn Bernrdno, CA 92408
Phone (909) 763-3363

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

2675 S Jones Blvd
Ste 102
Las Vegas, NV 89146
Phone (702) 951-9751

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

2945 Casa Vegas St
Las Vegas, NV 89169
Phone (702) 735-7159

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555

6352 Medical Center St
Las Vegas, NV 89148
Phone (702) 541-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1770358236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 MIA SKYE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485353",
            "telephone_number": "954-683-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181859",
            "telephone_number": "954-683-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "816537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.