Individual provider Active NPI

Mark Quim, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1780456350
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
812359 Issued in NV
Practice address
2255 Renaissance Dr Ste B
Las Vegas, NV 89119-6795
Phone
(702) 742-7580
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 812359 NV Primary

Addresses

Primary practice location

2255 Renaissance Dr Ste B
Las Vegas, NV 89119-6795

Mailing address

2255 Renaissance Dr Ste B
Las Vegas, NV 89119-6795
Phone (702) 742-7580

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
I20240119000170 NV Practitioner - Nurse Practitioner 2860844461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Celestial Health SolutionsGroup PAC ID 8527439603, 5 clinicians
Ya Partners USAGroup PAC ID 1052853181, 8 clinicians
M R Valles Healthcare P C IncGroup PAC ID 2769572072, 3 clinicians

Practice addresses (Care Compare)

2255 Renaissance Dr
Suite B
Las Vegas, NV 89119-6795
Phone (720) 500-1728

7848 W Sahara Ave
Las Vegas, NV 89117-1944
Phone (702) 833-9740

9653 Mesa Ridge CT
Las Vegas, NV 89129-7818
Phone (702) 232-4210

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M R Valles Healthcare P C Inc CurrentSince Nov 22, 2023 Accepting new patients
Ya Partners USA CurrentSince Sep 21, 2025 Accepting new patients
Celestial Health Solutions Psychiatric/Mental Health CurrentSince Jan 7, 2024 Accepting new patients

Locations

7848 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 833-9740

2255 Renaissance Dr
Ste B
Las Vegas, NV 89119
Phone (702) 500-1728

222 S Rainbow Blvd
Ste 206
Las Vegas, NV 89145
Phone (702) 500-1728

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1780456350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 RENAISSANCE DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196795",
            "telephone_number": "702-742-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 RENAISSANCE DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196795",
            "telephone_number": "702-742-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIM",
        "first_name": "MARK",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "812359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.