Individual provider Active NPI

Maylene Rosanes Culanag, APRN-CNP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1821959727
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
822751 Issued in NV
Practice address
2100 W Charleston Blvd
Las Vegas, NV 89102-2224
Phone
(702) 383-2273
Fax
(702) 383-2486
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 822751 NV Primary

Addresses

Primary practice location

2100 W Charleston Blvd
Las Vegas, NV 89102-2224

Mailing address

5216 Padua Way
Las Vegas, NV 89107-0402
Phone (725) 301-9110

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
I20260317004204 NV Practitioner - Nurse Practitioner 0547744690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Pain Institute and Medical Center, LLCGroup PAC ID 0941256846, 8 clinicians

Practice addresses (Care Compare)

1900 N Nellis Blvd
Las Vegas, NV 89115-6743
Phone (702) 880-4193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
822751NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Pain Institute and Medical Center, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 227-4040

8828 Mohawk St
Las Vegas, NV 89139

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1821959727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 PADUA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891070402",
            "telephone_number": "725-301-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022224",
            "telephone_number": "702-383-2273",
            "fax_number": "702-383-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULANAG",
        "first_name": "MAYLENE",
        "middle_name": "ROSANES",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "822751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.