Individual provider Active NPI

Irene Nanao Ines, APRN-CNP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1962225516
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
821332 Issued in NV
Practice address
3201 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-2423
Phone
(702) 910-6857
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 821332 NV Primary

Addresses

Primary practice location

3201 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-2423

Mailing address

990 Mossy Vale St
Henderson, NV 89052-4583
Phone (586) 565-1811

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
I20251121001624 NV Practitioner - Nurse Practitioner 7315439940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Pain Institute and Medical Center, LLCGroup PAC ID 0941256846, 8 clinicians

Practice addresses (Care Compare)

3835 S Jones Blvd
Suite 103
Las Vegas, NV 89103-2283
Phone (702) 880-4193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
821332NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Pain Institute and Medical Center, LLC CurrentSince Aug 16, 2025 Accepting new patients
Valetudo PLLC CurrentSince Aug 25, 2025 Accepting new patients
Spring Valley Surgery Center, LLC CurrentSince Aug 16, 2025 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

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

3201 S Maryland Pkwy
Ste 101
Las Vegas, NV 89109
Phone (702) 910-6857

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

1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 227-4040

4616 W Sahara Ave
#337
Las Vegas, NV 89102

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1962225516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MOSSY VALE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524583",
            "telephone_number": "586-565-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092423",
            "telephone_number": "702-910-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INES",
        "first_name": "IRENE",
        "middle_name": "NANAO",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "821332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.