Individual provider Active NPI

Rosemarie E Carandang, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1821431032
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
830321 Issued in NV
Practice address
4001 S Decatur Blvd Ste 25
Las Vegas, NV 89103-5857
Phone
(725) 224-6967
Fax
(833) 749-0357
NPI assigned
Apr 8, 2013
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 830321 NV Primary

Addresses

Primary practice location

4001 S Decatur Blvd Ste 25
Las Vegas, NV 89103-5857

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other identifiers 2

IdentifierTypeStateIssuer
250009956MedicaidNV
V66341OtherNVMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosemarie.carandang.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130514000397 CA Practitioner - Nurse Practitioner 6709023617 Reassigns benefits to 1 organization
I20201118001325 NV Practitioner - Nurse Practitioner 6709023617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 S Decatur Blvd
Suite 25
Las Vegas, NV 89103-5857
Phone (725) 224-6967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
830321NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC CurrentSince Sep 28, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 29, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 29, 2015 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Sep 28, 2020 Accepting new patients
Centerwell Senior Primary Care (NV) PC Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2875 S Nellis Blvd
Ste 3
Las Vegas, NV 89121
Phone (702) 843-2420

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

915 S Rainbow Blvd
Las Vegas, NV 89145
Phone (725) 220-8667

Interoperability endpoints

  • Direct secure messaging: rosemarie.carandang.1@29601.direct.athenahealth.com
  • Direct secure messaging: rosemarie.carandang@centerwell.eclinicaldirectplus.com

Organizations & group practices 6

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1821431032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 S DECATUR BLVD STE 25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035857",
            "telephone_number": "725-224-6967",
            "fax_number": "833-749-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANDANG",
        "first_name": "ROSEMARIE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "830321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250009956",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V66341",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosemarie.carandang.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4001 S Decatur Blvd Ste 25",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891035857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.