Individual provider Active NPI

Peggy Lynn Beller, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1811308604
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
000000 Issued in NV
Practice address
5380 S Rainbow Blvd
Ste. 120
Las Vegas, NV 89118-1877
Phone
(702) 233-3444
Fax
(702) 233-6998
NPI assigned
May 14, 2014
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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 000000 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd
Ste. 120
Las Vegas, NV 89118-1877

Mailing address

3012 S Durango Dr
Suite 2
Las Vegas, NV 89117-9186
Phone (702) 366-1655

Other practice location 1

1550 W Craig Rd
North Las Vegas, NV 89032-0327
Phone (702) 777-3615

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
I20140919000204 NV Practitioner - Nurse Practitioner 1850510173 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients
Fremont Emergency Services Scherr LTD Current Accepting new patients
Fremont Emergency Services Scherr LTD CurrentSince Oct 1, 2014 Accepting new patients
Fremont Emergency Services Scherr LTD Nurse Practitioner Past Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 4

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1811308604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 S DURANGO DR",
            "address_2": "SUITE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-366-1655",
            "fax_number": "702-942-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "address_2": "STE. 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181877",
            "telephone_number": "702-233-3444",
            "fax_number": "702-233-6998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 W Craig Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320327",
            "country_code": "US",
            "telephone_number": "702-777-3615",
            "fax_number": "702-642-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLER",
        "first_name": "PEGGY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.