Individual provider Active NPI

Karen Naguiat Cozelos, NP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1912655523
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019714 Issued in CA
Practice address
2845 Siena Heights Dr Ste 21002200
Henderson, NV 89052-4153
Phone
(702) 877-5199
Fax
(702) 492-1587
NPI assigned
Mar 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 95019714 CA Primary

Addresses

Primary practice location

2845 Siena Heights Dr Ste 21002200
Henderson, NV 89052-4153

Mailing address

2941 Copper Cove Dr
Henderson, NV 89074-6951
Phone (904) 333-3439

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
I20230412003228 NV Practitioner - Nurse Practitioner 8325413990 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95019714CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince Feb 2, 2025 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Apr 1, 2023 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Grossmont Hospital Corporation PastSince Mar 1, 2022 Accepting new patients
Emily'S Medical Group Apc PastSince Mar 1, 2022 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

2845 Siena Heights Dr
Ste 21002200
Henderson, NV 89052

2845 Siena Heights Dr
Henderson, NV 89052
Phone (702) 617-1227

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

Interoperability endpoints

  • Direct secure messaging: karen.cozelos.p5@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: karen.cozelos.1@32527.direct.athenahealth.com
  • Direct secure messaging: kcozelos120786@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1912655523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 COPPER COVE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746951",
            "telephone_number": "904-333-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 SIENA HEIGHTS DR STE 21002200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524153",
            "telephone_number": "702-877-5199",
            "fax_number": "702-492-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZELOS",
        "first_name": "KAREN",
        "middle_name": "NAGUIAT",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.