Individual provider Active NPI

Michael A Schreckengost, FNP-BC

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1831733542
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
833286 Issued in NV
Practice address
880 Seven Hills Dr Ste 140
Henderson, NV 89052-4372
Phone
(702) 844-4840
NPI assigned
Nov 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 833286 NV Primary

Addresses

Primary practice location

880 Seven Hills Dr Ste 140
Henderson, NV 89052-4372

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

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
I20221108001010 NV Practitioner - Nurse Practitioner 2062889835 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC CurrentSince May 8, 2023 Accepting new patients
P3 Health Partners Professional Services PC Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

1500 W Sunset Rd
#100120
Henderson, NV 89014
Phone (702) 888-3126

880 Seven Hills Dr
Ste 140
Henderson, NV 89052
Phone (702) 844-4840

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

9280 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 256-1600

348 N Nellis Blvd
Ste F
Las Vegas, NV 89110
Phone (702) 508-6460

653 N Town Center Dr
Ste 106
Las Vegas, NV 89144
Phone (702) 363-3000

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

340 Falcon Ridge Pkwy
Ste 201
Mesquite, NV 89027
Phone (702) 979-5966

340 Falcon Ridge Pkwy
#200202
Mesquite, NV 89027

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Organizations & group practices 2

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1831733542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524372",
            "telephone_number": "702-844-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECKENGOST",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.