Individual provider Active NPI

Cindy Pu McNicol, CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1922731850
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
864285 Issued in NV
Practice address
7720 W Sahara Ave Ste 103
Las Vegas, NV 89117-2754
Phone
(702) 228-9888
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 864285 NV Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.0031692 OH

Addresses

Primary practice location

7720 W Sahara Ave Ste 103
Las Vegas, NV 89117-2754

Mailing address

PO Box 370476
Las Vegas, NV 89137-0476
Phone (702) 228-9888

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
I20230601002945 NV Practitioner - Nurse Practitioner 4981088325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
864285NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kec Chang Medical Associates, PC CurrentSince May 16, 2023 Accepting new patients

Locations

7720 W Sahara Ave
Ste 103
Las Vegas, NV 89117
Phone (702) 228-9888

Interoperability endpoints

  • Direct secure messaging: cindy.mcnicol.1@15442.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1922731850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370476",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370476",
            "telephone_number": "702-228-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 W SAHARA AVE STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172754",
            "telephone_number": "702-228-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICOL",
        "first_name": "CINDY",
        "middle_name": "PU",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "864285",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.