Individual provider Active NPI

Ma Mariane Gondraneos Reyes, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1902580871
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
868153 Issued in NV
Practice address
3545 S Fort Apache Rd Ste 130
Las Vegas, NV 89147-3441
Phone
(702) 553-1643
Fax
(702) 718-7991
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 868153 NV Primary

Addresses

Primary practice location

3545 S Fort Apache Rd Ste 130
Las Vegas, NV 89147-3441

Mailing address

3545 S Fort Apache Rd Ste 130
Las Vegas, NV 89147-3441
Phone (702) 553-1643

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
I20230811001966 NV Practitioner - Nurse Practitioner 8426410119 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
Telehealth
Offers telehealth services
Group practices
Aruga Health PLLCGroup PAC ID 8022537828, 2 clinicians

Practice addresses (Care Compare)

3545 S Fort Apache Rd
Suite 130
Las Vegas, NV 89147-3441
Phone (702) 553-1643

Hospital & facility affiliations

  • Truserv Home Health Care LLC Home health agency, Las Vegas, NV, CCN 297308
  • Arrow Home Health Care Providers of Nevada LLC Home health agency, Las Vegas, NV, CCN 297320
  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aruga Health PLLC Family CurrentSince Mar 23, 2025 Accepting new patients

Locations

3545 S Fort Apache Rd
Ste 130
Las Vegas, NV 89147
Phone (702) 553-1643

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1902580871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891473441",
            "telephone_number": "702-553-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891473441",
            "telephone_number": "702-553-1643",
            "fax_number": "702-718-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MA MARIANE",
        "middle_name": "GONDRANEOS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "868153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.