Active NPI
Ferdinand Rayco Madayag, APRN
- Nurse Practitioner
- Amargosa Valley, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN001614
- Practice address
- 845 E Farm Rd
HCR 69, Box 401-V
Amargosa Valley, NV 89020-9795 - Phone
- (775) 372-5432
- Fax
- (775) 372-1303
- NPI assigned
- Nov 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN001614 | NV | Primary |
Addresses
Primary practice location
845 E Farm Rd
HCR 69, Box 401-V
Amargosa Valley, NV 89020-9795
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Phone (775) 888-6610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881024487 | Medicaid | NV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140605002201 | NV | Practitioner - Nurse Practitioner | 8022232313 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001614 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medinix Medical Services Singh PLLC | Current | Accepting new patients | |
| Southwest Family Practice LLC | Current | Accepting new patients | |
| Nevada Health Centers, Inc. | Past | Accepting new patients | |
| Apollocare Partners of Nevada, Inc. | Past | Accepting new patients |
Locations
1252 Wyoming St
Boulder City, NV 89005
Phone (702) 293-4488
3115 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 463-1804
5915 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 362-9930
7280 W Azure Dr
Ste 110
Las Vegas, NV 89130
Phone (725) 248-2244
2354 E Bonanza Rd
Las Vegas, NV 89101
Phone (702) 399-9161
2810 W Charleston Blvd
Ste E48
Las Vegas, NV 89102
Phone (702) 870-8994
6140 S Fort Apache Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 614-1250
6655 S Tenaya Way
Ste 180
Las Vegas, NV 89113
Phone (702) 463-7611
8420 S Eastern Ave
Ste 101
Las Vegas, NV 89123
Phone (702) 385-6468
1321 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 476-2287
8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113
9300 Sun City Blvd
Ste 101
Las Vegas, NV 89134
Phone (702) 341-9400
8880 W Sunset Rd
Ste 320
Las Vegas, NV 89148
Phone (702) 476-2287
3610 S Nevada Highway 160
Ste 204
Pahrump, NV 89048
Phone (775) 363-9900
Interoperability endpoints
- ferdinandmadayag@fpcc.nablemd.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1164098810
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1316640618
-
- Federally Qualified Health Center (FQHC)
- Amargosa Valley, NV
- NPI 1831278720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1881024487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 RESEARCH WAY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897067913",
"telephone_number": "775-888-6610",
"fax_number": "775-888-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 E FARM RD",
"address_2": "HCR 69, BOX 401-V",
"city": "AMARGOSA VALLEY",
"state": "NV",
"postal_code": "890209795",
"telephone_number": "775-372-5432",
"fax_number": "775-372-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADAYAG",
"first_name": "FERDINAND",
"middle_name": "RAYCO",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-18",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN001614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881024487",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amargosa Valley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.