NPIMap

Individual provider Active NPI

Christine Pedrosa Espenilla, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1851052484
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
849485 Issued in NV
Practice address
5597 Spring Mountain Rd
Las Vegas, NV 89146-8865
Phone
(725) 240-8880
Fax
(415) 376-4528
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 849485 NV
Family Nurse Practitioner 363LF0000X 849485 NV
Primary Care Nurse Practitioner 363LP2300X 849485 NV Primary

Addresses

Primary practice location

5597 Spring Mountain Rd
Las Vegas, NV 89146-8865

Mailing address

3236 Camellia Bank Ave
Henderson, NV 89052-4526
Phone (702) 830-2540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cespenilla@professionalwoundspecialists.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303002577 NV Practitioner - Nurse Practitioner 5496149650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

3750 S Jones Blvd
Suite 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
8.66 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
28.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Wound Specialists LLC CurrentSince Oct 1, 2024 Accepting new patients
Ming-Wei Wu, Inc CurrentSince Dec 23, 2021 Accepting new patients

Locations

5597 Spring Mountain Rd
Las Vegas, NV 89146
Phone (702) 575-4227

5597 Spring Mountain Rd
Ste G
Las Vegas, NV 89146
Phone (702) 419-8394

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1851052484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 CAMELLIA BANK AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524526",
            "telephone_number": "702-830-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468865",
            "telephone_number": "725-240-8880",
            "fax_number": "415-376-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPENILLA",
        "first_name": "CHRISTINE",
        "middle_name": "PEDROSA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "849485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "849485",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "849485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cespenilla@professionalwoundspecialists.net",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5597 Spring Mountain Rd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891468865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.