Individual provider Active NPI

Michelle S. Waller, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1942775796
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
812118 Issued in NV
Practice address
4955 S Durango Dr Ste 164
Las Vegas, NV 89113-0154
Phone
(347) 449-2175
NPI assigned
Oct 8, 2018
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 812118 NV Primary

Addresses

Primary practice location

4955 S Durango Dr Ste 164
Las Vegas, NV 89113-0154

Mailing address

4955 S Durango Dr Ste 164
Las Vegas, NV 89113-0154
Phone (702) 664-9520

Other names 1

  • Michelle Stephanie Celeste 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
I20181211003804 NV Practitioner - Nurse Practitioner 8426392861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Medical Group LLCGroup PAC ID 2860806890, 2 clinicians

Practice addresses (Care Compare)

4955 S Durango Dr
Suite 164
Las Vegas, NV 89113-0154
Phone (702) 664-9520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
812118NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Surgery Center, LLC CurrentSince Mar 12, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Absolute Medical Group LLC CurrentSince Jan 4, 2021 Accepting new patients
Henry Ford Maplegrove Center PastSince Sep 28, 2021 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 531-6440

3835 S Jones Blvd
Ste 103
Las Vegas, NV 89103
Phone (702) 227-4440

3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103
Phone 7028804193750

4955 S Durango Dr
Ste 164
Las Vegas, NV 89113
Phone (702) 664-9520

8828 Mohawk St
Las Vegas, NV 89139

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1942775796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 164",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130154",
            "telephone_number": "702-664-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 164",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130154",
            "telephone_number": "347-449-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "MICHELLE",
        "middle_name": "S.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "812118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CELESTE",
            "middle_name": "STEPHANIE",
            "credential": "DNP, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.