Individual provider Active NPI

Brenda Gaile Primero, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1831613025
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN002609 Issued in NV
Practice address
4045 Spencer St Ste 116
Las Vegas, NV 89119-5246
Phone
(702) 780-6200
Fax
(888) 433-5792
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN002609 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN002609 NV Primary

Addresses

Primary practice location

4045 Spencer St Ste 116
Las Vegas, NV 89119-5246

Mailing address

9328 Poseidon Valley Ave
Las Vegas, NV 89178-5542
Phone (702) 750-2438

Other practice location 1

5105 Camino Al Norte Ste 100
North Las Vegas, NV 89031-2373
Phone (702) 750-2438

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
I20170914003555 NV Practitioner - Nurse Practitioner 7618241670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deepa Hasija MDGroup PAC ID 6901183284, 8 clinicians
Vegas Valley Primary CareGroup PAC ID 3476539552, 7 clinicians

Practice addresses (Care Compare)

4045 Spencer St
Suite 116
Las Vegas, NV 89119-5246
Phone (702) 780-6200

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 835-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN002609NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Medical & Behavioral Center Inc CurrentSince Aug 30, 2017 Accepting new patients
Deepa Hasija MD CurrentSince Jun 30, 2025 Accepting new patients
Vegas Valley Primary Care CurrentSince Sep 16, 2019 Accepting new patients
Brenda Primero NP LLC Current Accepting new patients
Maria K Nwokikemd Face PC PastSince Aug 30, 2017 Accepting new patients

Locations

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

3247 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 776-3500

4045 Spencer St
Ste 116
Las Vegas, NV 89119
Phone (702) 780-6200

5105 Camino Al Norte
Ste 100
North Las Vegas, NV 89031
Phone (702) 750-2438

Organizations & group practices 5

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1831613025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 POSEIDON VALLEY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891785542",
            "telephone_number": "702-750-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195246",
            "telephone_number": "702-780-6200",
            "fax_number": "888-433-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5105 Camino Al Norte Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890312373",
            "country_code": "US",
            "telephone_number": "702-750-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIMERO",
        "first_name": "BRENDA",
        "middle_name": "GAILE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN002609",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN002609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.