Individual provider Active NPI

Edina Boros, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1831602325
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
865517 Issued in NV
Practice address
2740 S Jones Blvd
Las Vegas, NV 89146-5306
Phone
(702) 556-6901
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X RN77999 NV
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 865517 NV Primary

Addresses

Primary practice location

2740 S Jones Blvd
Las Vegas, NV 89146-5306

Mailing address

1461 Morro Creek St
Las Vegas, NV 89128-0701
Phone (702) 556-6901

Other identifiers 2

IdentifierTypeStateIssuer
RN7799OtherNVNURSING LICENE
865517OtherNVNEVADA STATE BOARD OF NURSING

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
I20250131002662 NV Practitioner - Nurse Practitioner 5294268363 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
Telehealth
Offers telehealth services
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

240 S Humahuaca St
Pahrump, NV 89048-2199
Phone (775) 751-7406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN77999NVMDPsychiatric/Mental Health Registered Nurse
865517NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Dec 23, 2024 Accepting new patients
State of Nevada Single Specialty CurrentSince Dec 23, 2024 Accepting new patients
State of Nevada Single Specialty CurrentSince Dec 23, 2024 Accepting new patients
State of Nevada Single Specialty Past Accepting new patients

Locations

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

727 Fairview Dr
Ste A
Carson City, NV 89701
Phone (775) 684-5000

4150 Technology Way
Ste 100
Carson City, NV 89706

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1831602325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 MORRO CREEK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280701",
            "telephone_number": "702-556-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465306",
            "telephone_number": "702-556-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROS",
        "first_name": "EDINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "RN77999",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "865517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENE",
            "identifier": "RN7799",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF NURSING",
            "identifier": "865517",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.