Active NPI
Paul Stewart
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1780351676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202200812NP-PP
- Practice address
- 221 Muldowney LN
Las Vegas, NV 89138-1575 - Phone
- (888) 315-8723
- NPI assigned
- Aug 27, 2021
- Last updated
- Jun 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 867523 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP.AP.61340801-NP | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202200812NP-PP | OR | Primary |
Addresses
Primary practice location
221 Muldowney LN
Las Vegas, NV 89138-1575
Mailing address
221 Muldowney LN
Las Vegas, NV 89138-1575
Phone (888) 315-8723
Other names 1
- Trae Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4805 NE Glisan St
Portland, OR 97213-2933
Phone (888) 315-8723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R52093 | ND | MD | Psychiatric/Mental Health Nurse Practitioner |
| 202200812NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychmatters LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Theravada Mental Health LLC | Past | Accepting new patients |
Locations
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
30 N Gould St
Sheridan, WY 82801
Phone (307) 200-7117
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1366192205
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1114414109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1780351676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MULDOWNEY LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891381575",
"telephone_number": "888-315-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MULDOWNEY LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891381575",
"telephone_number": "888-315-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "867523",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "ARNP.AP.61340801-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202200812NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRAE",
"last_name": "STEWART",
"code": "2",
"type": "Professional Name"
}
]
}
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 22, 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.