Individual provider Active NPI

Helen Grace Meridor

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1861246860
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
876337 Issued in NV
Practice address
1675 Marion Bennet Dr
Las Vegas, NV 89106-2462
Phone
(602) 814-1554
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 876337 NV Primary

Addresses

Primary practice location

1675 Marion Bennet Dr
Las Vegas, NV 89106-2462

Mailing address

1675 Marion Bennet Dr
Las Vegas, NV 89106-2462
Phone (602) 814-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240802002460 NV Practitioner - Nurse Practitioner 5597202903 Reassigns benefits to 1 organization
I20251001001094 AZ Practitioner - Nurse Practitioner 5597202903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8879 W Flamingo Rd
Suite 201
Las Vegas, NV 89147-8733
Phone (602) 814-1554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
876337NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Services LLC CurrentSince Jul 2, 2025 Accepting new patients
Phoenix Skin and Wound Care CurrentSince Aug 18, 2025 Accepting new patients
Valley Pediatric & Specialty Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

8879 W Flamingo Rd
Ste 201
Las Vegas, NV 89147
Phone (702) 239-9235

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, 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": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1861246860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 MARION BENNET DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062462",
            "telephone_number": "602-814-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MARION BENNET DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062462",
            "telephone_number": "602-814-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDOR",
        "first_name": "HELEN GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "876337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.