Individual provider Active NPI

James Vir Abrenica Sales, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1861208035
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
854288 Issued in NV
Practice address
229 N Pecos Rd Ste 120
Henderson, NV 89074-7364
Phone
(702) 629-7510
Fax
(702) 629-7519
NPI assigned
Dec 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 854288 NV
Family Nurse Practitioner 363LF0000X 854288 NV Primary

Addresses

Primary practice location

229 N Pecos Rd Ste 120
Henderson, NV 89074-7364

Mailing address

8888 Catfish Stream Ave
Las Vegas, NV 89178-7203
Phone (862) 208-8180

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
I20250211002164 NV Practitioner - Nurse Practitioner 2062942774 Reassigns benefits to 2 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
Las Vegas Kidney and Hypertension Specialists LLCGroup PAC ID 6507099132, 6 clinicians
Lln02 LLCGroup PAC ID 5395101604, 6 clinicians

Practice addresses (Care Compare)

102 E Lake Mead Pkwy
St Rose Dominican de Lima
Henderson, NV 89015-5575
Phone (702) 564-2622

129 W Lake Mead Pkwy
Suite 8
Henderson, NV 89015-7055
Phone (725) 254-8686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
854288NVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lln02 LLC Family CurrentSince Feb 4, 2025 Accepting new patients
Las Vegas Kidney & Hypertension Specialists LLC Nephrology CurrentSince Apr 15, 2025 Accepting new patients
Piceno Kidney & Hypertension Specialists, LLC Nephrology Past Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

229 N Pecos Rd
Ste 120
Henderson, NV 89074
Phone (404) 556-7313

129 W Lake Mead Pkwy
Ste 8
Henderson, NV 89015
Phone (702) 285-8311

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1861208035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 CATFISH STREAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891787203",
            "telephone_number": "862-208-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-629-7510",
            "fax_number": "702-629-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES",
        "first_name": "JAMES VIR",
        "middle_name": "ABRENICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "854288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "854288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.