Individual provider Active NPI

Lauren Ashley Rivera Escamis, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1932557915
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN701375 Issued in NV
Practice address
6990 Smoke Ranch Rd
Las Vegas, NV 89128-3119
Phone
(702) 476-9999
Fax
(702) 946-1343
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN701375 NV Primary

Addresses

Primary practice location

6990 Smoke Ranch Rd
Las Vegas, NV 89128-3119

Mailing address

2809 W Charleston Blvd
Ste. 150
Las Vegas, NV 89102-1998
Phone (702) 476-9999

Other names 1

  • Lauren Ashley Cascolan Former name

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
I20160913002594 NV Practitioner - Nurse Practitioner 9830485143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coppel Medical Enterprise LLCGroup PAC ID 8921140641, 20 clinicians

Practice addresses (Care Compare)

2809 W Charleston Blvd
Suite 150
Las Vegas, NV 89102-1998
Phone (702) 476-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
APRN701375NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coppel Medical Enterprise LLC CurrentSince Jul 4, 2016 Accepting new patients
Centennial Hills Hospital Medical Center PastSince Jul 4, 2016 Accepting new patients

Locations

2809 W Charleston Blvd
Ste 150
Las Vegas, NV 89102

6990 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 242-5155

2809 W Charleston Blvd
#150
Las Vegas, NV 89102
Phone 70247699997014

Interoperability endpoints

  • Direct secure messaging: lauren.cascolan@5193.chartlogic.direct-ci.com

Organizations & group practices 2

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1932557915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W CHARLESTON BLVD",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021998",
            "telephone_number": "702-476-9999",
            "fax_number": "702-946-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6990 SMOKE RANCH RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283119",
            "telephone_number": "702-476-9999",
            "fax_number": "702-946-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMIS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY RIVERA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN701375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CASCOLAN",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.