Individual provider Active NPI

Anne Raquel Bacani, APRN

  • Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1952029993
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
855405 Issued in NV
Practice address
5237 Golden Melody LN
North Las Vegas, NV 89081-4030
Phone
(999) 999-9999
NPI assigned
Aug 16, 2022
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 855405 NV Primary

Addresses

Primary practice location

5237 Golden Melody LN
North Las Vegas, NV 89081-4030

Mailing address

5237 Golden Melody LN
North Las Vegas, NV 89081-4030

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
I20220901003327 NV Practitioner - Nurse Practitioner 5092199430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone (702) 383-2565

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jan 20, 2025 Accepting new patients

Locations

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2031 N Buffalo Dr
Las Vegas, NV 89128
Phone (702) 383-2650

4180 S Rainbow Blvd
Ste 810
Las Vegas, NV 89103
Phone (702) 383-3626

4760 Blue Diamond Rd
Ste 110
Las Vegas, NV 89139
Phone (702) 383-2300

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

61 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 383-6240

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

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, 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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1952029993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 GOLDEN MELODY LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 GOLDEN MELODY LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814030",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACANI",
        "first_name": "ANNE",
        "middle_name": "RAQUEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "855405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.