Individual provider Active NPI

Mary Joy Agonoy, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1770465361
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
823605 Issued in NV
Practice address
5440 W Sahara Ave Ste 102
Las Vegas, NV 89146-0369
Phone
(702) 715-5300
Fax
(833) 795-1997
NPI assigned
Jul 23, 2025
Last updated
Aug 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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 823605 NV Primary

Addresses

Primary practice location

5440 W Sahara Ave Ste 102
Las Vegas, NV 89146-0369

Mailing address

732 S 6TH St # 7537
Las Vegas, NV 89101-6948
Phone (775) 269-2693

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
I20260219001205 NV Practitioner - Nurse Practitioner 8022598879 Reassigns benefits to 1 organization

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
Universal Medical Alliance IncGroup PAC ID 6608291828, 4 clinicians

Practice addresses (Care Compare)

6268 Spring Mountain Rd
Suite 115
Las Vegas, NV 89146-8874
Phone (725) 204-1017

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
823605NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Alliance Inc. Family Medicine CurrentSince Dec 22, 2025 Accepting new patients

Locations

6268 Spring Mountain Rd
Ste 115
Las Vegas, NV 89146
Phone (725) 204-1017

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mary.joy.agonoy.1@27998.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1770465361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 S 6TH ST # 7537",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016948",
            "telephone_number": "775-269-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460369",
            "telephone_number": "702-715-5300",
            "fax_number": "833-795-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGONOY",
        "first_name": "MARY JOY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "823605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.