Individual provider Active NPI

Irena Krass, A-GNP-C

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1871287748
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
814680 Issued in NV
Practice address
7613 Mojave Wind Ave
Las Vegas, NV 89113-4715
Phone
(702) 498-5653
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 814680 NV Primary

Addresses

Primary practice location

7613 Mojave Wind Ave
Las Vegas, NV 89113-4715

Mailing address

7613 Mojave Wind Ave
Las Vegas, NV 89113-4715

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
I20240105002365 NV Practitioner - Nurse Practitioner 6002267820 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814680NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of Nevada LLC CurrentSince Aug 2, 2025 Accepting new patients
Minghsun Liu MD PC CurrentSince Nov 14, 2023 Accepting new patients
Res Wound Care PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

2621 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 308-5534

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1871287748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 MOJAVE WIND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 MOJAVE WIND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134715",
            "telephone_number": "702-498-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASS",
        "first_name": "IRENA",
        "credential": "A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "814680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.