Individual provider Active NPI

Gladys Gongora Frondarina-Beltran, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1922526474
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002597 Issued in NV
Practice address
6270 McLeod Dr Ste 100
Las Vegas, NV 89120-4446
Phone
(702) 792-5112
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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 APRN002597 NV Primary

Addresses

Primary practice location

6270 McLeod Dr Ste 100
Las Vegas, NV 89120-4446

Mailing address

6270 McLeod Dr Ste 100
Las Vegas, NV 89120-4446

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
I20171101002379 NV Practitioner - Nurse Practitioner 9830104827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vegas Valley Primary CareGroup PAC ID 3476539552, 7 clinicians

Practice addresses (Care Compare)

3021 W Horizon Ridges Pkwy
Henderson, NV 89052
Phone (702) 646-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002597NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Power Medical Center LLC CurrentSince Jan 25, 2022 Accepting new patients
Brain Power Medical Center LLC CurrentSince Jan 25, 2022 Accepting new patients
Vegas Valley Primary Care CurrentSince Jul 29, 2018 Accepting new patients
Faustine Home Health Agency Inc Current Accepting new patients

Locations

3021 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 646-5000

6270 McLeod Dr
Ste 100
Las Vegas, NV 89120
Phone (702) 792-5112

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Excell Home Health ServicesLas Vegas, NV, CCN 297091 Home health agency 5% Or Greater Direct Ownership Interest (40%)
Corporate Director (40%)
W-2 Managing Employee (40%)
Operational/Managerial Control (40%)
May 15, 2009
May 15, 2009
May 15, 2009
May 15, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1922526474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 MCLEOD DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 MCLEOD DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204446",
            "telephone_number": "702-792-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONDARINA-BELTRAN",
        "first_name": "GLADYS",
        "middle_name": "GONGORA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.