Individual provider Active NPI

Marguarette Jean Suprien

  • Family Nurse Practitioner
  • N Las Vegas, NV
National Provider Identifier
1881051415
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001817 Issued in NV
Practice address
6900 N Pecos Rd
N Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 APRN001817 NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
N Las Vegas, NV 89086-4400

Mailing address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000

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
I20160502000505 NV Practitioner - Nurse Practitioner 4082913751 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cal Psychiatric ServicesGroup PAC ID 3870808744, 4 clinicians

Practice addresses (Care Compare)

3027 E Sunset Rd
Suite 107
Las Vegas, NV 89120-2758
Phone (702) 629-7490

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Medical Nevada Casal PLLC CurrentSince Jun 12, 2019 Accepting new patients
Lln02 LLC Family CurrentSince Oct 20, 2025 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 12, 2019 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Dec 23, 2019 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Dec 23, 2019 Accepting new patients
Integrated Medical Group Inc Past Accepting new patients

Locations

2831 Saint Rose Pkwy
Ste 221
Henderson, NV 89052
Phone (702) 279-2230

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

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

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
Las Vegas, NV 89122

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Organizations & group practices 7

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1881051415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRIEN",
        "first_name": "MARGUARETTE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.