Mariz Pacumbaba, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

835812 Issued in NV

Practice address

5860 Losee Rd.
N. Las Vegas, NV 89081

Phone

(702) 383-3910

Fax

(702) 383-7380

NPI assigned

Nov 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  Medicare reassignment Care Compare group NPD
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Henderson, NV
  • NPI 1538721642
  NPD
• Physicians Medical Center Kaufman, LTD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952356412
  NPD (past)
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD (past)

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1952903833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 LOSEE RD.",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-383-3910",
            "fax_number": "702-383-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 LOSEE RD.",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-383-3910",
            "fax_number": "702-383-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACUMBABA",
        "first_name": "MARIZ",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "835812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzoma C Osuchukwu, M.D
• Brenda Osuna, RN
• Ouicarebehavioralhealth Inc
• Dennis Cornelius Owens
• Shannah Owens
• Maria Lourdes Padilla
• Lucretia Page
• Ines Palacios Cavero
• Elita Pallasigui
• Carla Palmer

• Nurse Practitioner in N. Las Vegas, NV
• Providers in N. Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.