Individual provider Active NPI

Marilou A. Loisel

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1942815816
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
831817 Issued in NV
Practice address
10136 Royal Mint Ave
Las Vegas, NV 89166-6539
Phone
(702) 461-4136
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 831817 NV Primary

Addresses

Primary practice location

10136 Royal Mint Ave
Las Vegas, NV 89166-6539

Mailing address

10136 Royal Mint Ave
Las Vegas, NV 89166-6539
Phone (702) 461-4136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO, ID3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220831002491 NV Practitioner - Nurse Practitioner 0143604777 Reassigns benefits to 2 organizations
I20260202001822 CO Practitioner - Nurse Practitioner 0143604777 Reassigns benefits to 1 organization
I20260605002994 ID Practitioner - Nurse Practitioner 0143604777 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
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

209 W County Line Rd
Highlands Ranch, CO 80129-1901
Phone (303) 730-6164

3045 E St Lukes St
Suite 105
Meridian, ID 83642-7833
Phone (208) 872-2174

861 Coronado Ctr Dr
Suite 212
Henderson, NV 89052-3992
Phone (303) 405-2100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Reliance Health and Wellness Solutions LLC Single Specialty CurrentSince Apr 23, 2023 Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

209 W County Line Rd
Highlands Ranch, CO 80129
Phone (303) 730-6164

3045 E St Lukes St
Ste 105
Meridian, ID 83642
Phone (208) 872-2174

861 Coronado Center Dr
Ste 212
Henderson, NV 89052
Phone (303) 405-2100

2975 S Rainbow Blvd
Ste H
Las Vegas, NV 89146
Phone (702) 485-2800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1942815816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 ROYAL MINT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666539",
            "telephone_number": "702-461-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10136 ROYAL MINT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666539",
            "telephone_number": "702-461-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOISEL",
        "first_name": "MARILOU",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.