Individual provider Active NPI

Sherrie Louise Lucero, PMHNP - APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1841825825
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
829049 Issued in NV
Practice address
5105 Camino Al Norte Ste 100
North Las Vegas, NV 89031-2373
Phone
(702) 750-2438
Fax
(702) 750-2173
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 829049 NV Primary

Addresses

Primary practice location

5105 Camino Al Norte Ste 100
North Las Vegas, NV 89031-2373

Mailing address

265 Far Away St
Henderson, NV 89074-8775
Phone (702) 882-9374

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
I20200630000770 NV Practitioner - Nurse Practitioner 9133541600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frontier Medical and Behavioral Center IncGroup PAC ID 4183912017, 5 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Medical & Behavioral Center Inc Psychiatry CurrentSince Apr 17, 2020 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients
Maria K Nwokikemd Face PC PastSince Mar 22, 2020 Accepting new patients

Locations

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

Organizations & group practices 3

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1841825825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FAR AWAY ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748775",
            "telephone_number": "702-882-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 CAMINO AL NORTE STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-750-2438",
            "fax_number": "702-750-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "SHERRIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP - APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "829049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.