Individual provider Active NPI

Vanessa Gail Mirabbasi, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1932362480
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
832621 Issued in NV
Practice address
8025 Amigo St
Las Vegas, NV 89123-1210
Phone
(702) 380-8300
Fax
(702) 380-8302
NPI assigned
Jul 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 309906-031 WI
Family Nurse Practitioner 363LF0000X RN67831 NV
Family Nurse Practitioner 363LF0000X 832621 NV Primary
Family Nurse Practitioner 363LF0000X 14768-33 WI
Nurse Practitioner 363L00000X 832621 NV

Addresses

Primary practice location

8025 Amigo St
Las Vegas, NV 89123-1210

Mailing address

8025 Amigo St
Las Vegas, NV 89123-1210
Phone (702) 380-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WI2 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
I20210203000791 NV Practitioner - Nurse Practitioner 2769896752 Reassigns benefits to 1 organization
I20240327002208 WI Practitioner - Nurse Practitioner 2769896752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Physicians of Wisconsin SCGroup PAC ID 9537596341, 28 clinicians

Practice addresses (Care Compare)

2500 W Layton Ave
Suite 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
59.26
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309906-031WIMDLicensed Practical Nurse
832621NVMDNurse Practitioner
RN67831NVMDFamily Nurse Practitioner
14768-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Hospice of Nevada, LLC Nurse Practitioner CurrentSince Jan 21, 2021 Accepting new patients
Procare Hospice of Nevada, LLC CurrentSince Jan 21, 2021 Accepting new patients
Pain Physicians of Wisconsin, SC CurrentSince Apr 1, 2024 Accepting new patients
Centennial Hills Hospital Medical Center PastSince Jan 12, 2022 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients

Locations

7469 W Lake Mead Blvd
Ste 200
Las Vegas, NV 89128
Phone (702) 228-0282

8025 Amigo St
Las Vegas, NV 89123
Phone (702) 251-6777

34 Schroeder Ct
Madison, WI 53711
Phone (608) 409-3400

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

Interoperability endpoints

  • Direct secure messaging: vanessa.gottschalk@5193.chartlogic.direct-ci.com

Organizations & group practices 5

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": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1932362480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 AMIGO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231210",
            "telephone_number": "702-380-8300",
            "fax_number": "702-380-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 AMIGO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231210",
            "telephone_number": "702-380-8300",
            "fax_number": "702-380-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABBASI",
        "first_name": "VANESSA",
        "middle_name": "GAIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309906-031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "RN67831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832621",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14768-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "832621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.