Individual provider Active NPI

Denise Helen Licini, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1902864564
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN822758 Issued in NV
Practice address
6827 W Tropicana Ave Ste 110
Las Vegas, NV 89103-4920
Phone
(702) 508-9128
Fax
(702) 302-4125
NPI assigned
May 3, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN822758 NV Primary
Nurse Practitioner 363L00000X NPF21784 CA
Adult Health Nurse Practitioner 363LA2200X NC085069 NJ

Addresses

Primary practice location

6827 W Tropicana Ave Ste 110
Las Vegas, NV 89103-4920

Mailing address

705 Granite Rapids St
Las Vegas, NV 89138-7529
Phone (862) 228-0578

Other practice location 1

5 Harris Ct Ste 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20130513000375 CA Practitioner - Nurse Practitioner 4284871120 Reassigns benefits to 1 organization
I20191120002783 NV Practitioner - Nurse Practitioner 4284871120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians

Practice addresses (Care Compare)

2450 W Charleston Blvd
Las Vegas, NV 89102-2179
Phone (702) 242-7199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21784CAMDChiropractor
NPF21784CAMDNurse Practitioner
APRN822758NVMDNurse Practitioner
NC085069NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jul 1, 2025 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Monterey Bay Oncology a Medical Corporation CurrentSince Feb 20, 2013 Accepting new patients
Monterey Bay Oncology a Medical Corporation PastSince Feb 20, 2013 Accepting new patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients

Locations

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

5 Harris Ct
Bldg T2
Monterey, CA 93940
Phone (831) 375-4105

3175 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 724-8787

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 724-8877

Interoperability endpoints

  • Direct secure messaging: dlicini231327@westdirect.optum.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1902864564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GRANITE RAPIDS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387529",
            "telephone_number": "862-228-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 W TROPICANA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034920",
            "telephone_number": "702-508-9128",
            "fax_number": "702-302-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Harris Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405750",
            "country_code": "US",
            "telephone_number": "831-375-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICINI",
        "first_name": "DENISE",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN822758",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF21784",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "NC085069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.