Individual provider Active NPI

Andres Teran, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1790441855
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
819316 Issued in NV
Practice address
2080 E Flamingo Rd Ste 302
Las Vegas, NV 89119-5180
Phone
(702) 657-3873
Fax
(702) 636-0787
NPI assigned
Nov 12, 2021
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 819316 NV Primary

Addresses

Primary practice location

2080 E Flamingo Rd Ste 302
Las Vegas, NV 89119-5180

Mailing address

2080 E Flamingo Rd Ste 302
Las Vegas, NV 89119-5180
Phone (702) 657-3873

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
I20211203001446 NV Practitioner - Nurse Practitioner 2163812256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antonio Serru Paez MD Professional CorporationGroup PAC ID 8729256748, 4 clinicians

Practice addresses (Care Compare)

4424 S Eastern Ave
Las Vegas, NV 89119-7825
Phone (702) 732-7440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
819316NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Serru Paez MD Professional Corporation Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients

Locations

4418 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 732-7440

4424 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 338-6837

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.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1790441855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195180",
            "telephone_number": "702-657-3873",
            "fax_number": "702-636-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195180",
            "telephone_number": "702-657-3873",
            "fax_number": "702-636-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "ANDRES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "819316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.