Individual provider Active NPI

Genica Felise Gelson, APRN, FNP-BC

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1811456486
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
818763 Issued in NV
Practice address
2839 St. Rose Parkway
Ste. 160
Henderson, NV 89052-4849
Phone
(702) 240-6482
Fax
(702) 240-8529
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 818763 NV Primary

Addresses

Primary practice location

2839 St. Rose Parkway
Ste. 160
Henderson, NV 89052-4849

Mailing address

700 E. Silverado Ranch Blvd.
Ste. 170
Las Vegas, NV 89183-7518
Phone (702) 240-6482

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
I20190513000645 NV Practitioner - Nurse Practitioner 3375886468 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Aug 25, 2022 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Southwest Medical Associates, Inc Past Accepting new patients

Locations

2716 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 240-8934

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

Interoperability endpoints

  • Direct secure messaging: ggelson120750@westdirect.optum.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1811456486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E. SILVERADO RANCH BLVD.",
            "address_2": "STE. 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837518",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 ST. ROSE PARKWAY",
            "address_2": "STE. 160",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524849",
            "telephone_number": "702-240-6482",
            "fax_number": "702-240-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELSON",
        "first_name": "GENICA",
        "middle_name": "FELISE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "818763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.