Individual provider Active NPI

Misel Reyes Diaz, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1841873106
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
814317 Issued in NV
Practice address
4275 S Burnham St
Las Vegas, NV 89119-5400
Phone
(702) 384-7669
Fax
(702) 385-7669
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 814317 NV Primary

Addresses

Primary practice location

4275 S Burnham St
Las Vegas, NV 89119-5400

Mailing address

5585 Birchwood Cir
Las Vegas, NV 89120-1941
Phone (702) 589-1912

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
I20231027000551 NV Practitioner - Nurse Practitioner 1557717550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ar Medical Center LLCGroup PAC ID 2567974082, 5 clinicians

Practice addresses (Care Compare)

2121 E Flamingo Rd
Las Vegas, NV 89119-5124
Phone (702) 302-3570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814317NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ar Medical Center LLC CurrentSince May 11, 2025 Accepting new patients

Locations

2121 E Flamingo Rd
Ste 216
Las Vegas, NV 89119
Phone (702) 302-3570

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1841873106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 BIRCHWOOD CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201941",
            "telephone_number": "702-589-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 S BURNHAM ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-384-7669",
            "fax_number": "702-385-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES DIAZ",
        "first_name": "MISEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "814317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.