Individual provider Active NPI

Alouisa Gay Sahagun Agcaoili, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1962144253
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
844842 Issued in NV
Practice address
1294 S Jones Blvd
Las Vegas, NV 89146-1284
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
Apr 8, 2022
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020460 CA
Family Nurse Practitioner 363LF0000X 844842 NV Primary
Registered Nurse 163W00000X 844842 NV
Registered Nurse 163W00000X 780172 CA

Addresses

Primary practice location

1294 S Jones Blvd
Las Vegas, NV 89146-1284

Mailing address

1294 S Jones Blvd
Las Vegas, NV 89146-1284
Phone (702) 877-1887

Other identifiers 2

IdentifierTypeStateIssuer
250030465MedicaidNV
15761640OtherNVCAQH ID

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
I20230412002491 NV Practitioner - Nurse Practitioner 6608241260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med-Care Providers LLCGroup PAC ID 9133578297, 9 clinicians

Practice addresses (Care Compare)

2121 E Flamingo Rd
Las Vegas, NV 89119-5124
Phone (702) 723-0303

4525 S Sandhill Rd
Suite 103
Las Vegas, NV 89121-5955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
780172CAMDRegistered Nurse
95020460CAMDNurse Practitioner
844842NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Care Providers LLC Nurse Practitioner CurrentSince Jun 15, 2025 Accepting new patients
Nephrology & Endocrine Associates Inc CurrentSince Dec 5, 2024 Accepting new patients
Nephrology & Endocrine Associates Inc CurrentSince Dec 5, 2024 Accepting new patients
Janda, Mahajan & Balsiger PLLC Neurology PastSince Apr 9, 2024 Accepting new patients

Locations

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

2121 E Flamingo Rd
Ste 218
Las Vegas, NV 89119
Phone (702) 463-7719

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

Interoperability endpoints

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

Organizations & group practices 4

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1962144253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461284",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461284",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGCAOILI",
        "first_name": "ALOUISA GAY",
        "middle_name": "SAHAGUN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "844842",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "844842",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "780172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250030465",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "15761640",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.