Individual provider Active NPI

Bernadette Payumo Abregunda, PMHNP

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1861899841
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
844939 Issued in NV
Practice address
5771 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5626
Phone
(702) 951-3400
Fax
(702) 951-3403
NPI assigned
Nov 19, 2014
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP126948 TX
Gerontology Nurse Practitioner 363LG0600X AP126948 TX
Gerontology Nurse Practitioner 363LG0600X 844939 NV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP126948 TX

Addresses

Primary practice location

5771 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5626

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

301 W Expressway 83
McAllen, TX 78503-3045
Phone (956) 632-4000

Other practice location 2

8901 N 2nd St
McAllen, TX 78504-1967
Phone (956) 961-4157

Other identifiers 6

IdentifierTypeStateIssuer
3462095-05MedicaidTX
1861899841MedicaidNV
844939OtherNVSTATE LICENSE
412738ZSJCOtherTXMEDICARE
P01666642OtherTXRR MEDICARE
0346209502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 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
I20150603000415 TX Practitioner - Nurse Practitioner 6406177427 Reassigns benefits to 4 organizations
I20230623000598 NV Practitioner - Nurse Practitioner 6406177427 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
Telehealth
Offers telehealth services
Group practices
Abregunda-Gonzalez Mending Minds Psychiatry PLLCGroup PAC ID 1153715156, 2 clinicians

Practice addresses (Care Compare)

10600 N 25TH St
McAllen, TX 78504-6323
Phone (714) 356-5709

4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone (702) 871-5005

5771 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5626
Phone (702) 951-3400

6355 S Buffalo Dr
Las Vegas, NV 89113-2133
Phone (702) 479-4881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
844939NVMDGerontology Nurse Practitioner
AP126948TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jun 10, 2024 Accepting new patients
Ramcorp Medical P.a. CurrentSince May 15, 2016 Accepting new patients
Abregunda-Gonzalez Mending Minds Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Jun 5, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jun 10, 2024 Accepting new patients
Knapp Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Jun 5, 2023 Accepting new patients
Edinburg Emergency Medicine Associates PA Nurse Practitioner CurrentSince Jul 8, 2016 Accepting new patients
McAllen Hospitals L P PastSince Jul 6, 2015 Accepting new patients
Juan Joel Garza, MD PA Past Accepting new patients
Asuaje Transitions MHT LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

5771 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 951-3400

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1315 E 6th St
Ste 6
Weslaco, TX 78596
Phone (956) 351-5949

1402 E 8th St
Unit D
Weslaco, TX 78596
Phone (956) 647-5006

Interoperability endpoints

  • Direct secure messaging: bernadette.abregunda.1@24259.direct.athenahealth.com
  • Direct secure messaging: bernadetteabregunda@hcpnv.allscriptsdirect.net

Organizations & group practices 12

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1861899841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485626",
            "telephone_number": "702-951-3400",
            "fax_number": "702-951-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785033045",
            "country_code": "US",
            "telephone_number": "956-632-4000",
            "fax_number": "956-961-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785041967",
            "country_code": "US",
            "telephone_number": "956-961-4157",
            "fax_number": "956-630-0472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABREGUNDA",
        "first_name": "BERNADETTE",
        "middle_name": "PAYUMO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126948",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP126948",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "844939",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3462095-05",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861899841",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "844939",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "412738ZSJC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01666642",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346209502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.