Active NPI
Mark Quim, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 812359
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M R Valles Healthcare P C Inc | Current | Accepting new patients | |
| Ya Partners USA | Current | Accepting new patients | |
| Celestial Health Solutions | Psychiatric/Mental Health | Current | 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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1124731401
Psychiatric/Mental Health
-
dba M R Valles P C Inc
- Psychiatry Physician
- Las Vegas, NV
- NPI 1538226931
-
dba Cognitive Care Services
- Pediatric Occupational Therapist
- Las Vegas, NV
- NPI 1730629288
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.