Individual provider Active NPI

Aiza Moreno, FNP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1831912930
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
817298 Issued in NV
Practice address
10754 Henesco Bay St
Las Vegas, NV 89179-1472
Phone
(702) 338-3302
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 817298 NV Primary

Addresses

Primary practice location

10754 Henesco Bay St
Las Vegas, NV 89179-1472

Mailing address

10754 Henesco Bay St
Las Vegas, NV 89179-1472
Phone (702) 338-3302

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
I20241226003033 NV Practitioner - Nurse Practitioner 4981131240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthwise LLCGroup PAC ID 2567996192, 2 clinicians

Practice addresses (Care Compare)

Boulder City, NV 89005
Phone (702) 344-0993

Las Vegas, NV 89107
Phone (775) 234-3330

500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1061

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Health Consulting LLC CurrentSince Apr 21, 2025 Accepting new patients
Advanced Practitioner LLC Family CurrentSince Nov 10, 2024 Accepting new patients
Healthwise LLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

6843 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 888-1113

Interoperability endpoints

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

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1831912930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10754 HENESCO BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791472",
            "telephone_number": "702-338-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10754 HENESCO BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791472",
            "telephone_number": "702-338-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "AIZA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "817298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.