Individual provider Active NPI

Maritess Jungco Arsulo, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1962810762
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001717 Issued in NV
Practice address
4180 S. Rainbow Blvd. Ste. 810
Las Vegas, NV 89103
Phone
(702) 383-3645
Fax
(702) 227-8429
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001717 NV
Family Nurse Practitioner 363LF0000X APRN001717 NV Primary

Addresses

Primary practice location

4180 S. Rainbow Blvd. Ste. 810
Las Vegas, NV 89103

Mailing address

4180 S. Rainbow Blvd. Ste. 810
Las Vegas, NV 89103
Phone (702) 383-3645

Other names 1

  • Maritess Jungco Arcega Former name

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
I20150303001069 NV Practitioner - Nurse Practitioner 0749504983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center of Southern Nevada 388 clinicians

Practice addresses (Care Compare)

4180 S Rainbow Blvd
Suite 810
Las Vegas, NV 89103-3135
Phone (702) 383-3645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001717NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jun 28, 2023 Accepting new patients
DMC Medical Clinic LTD CurrentSince Mar 11, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jun 28, 2023 Accepting new patients
Providence Hospice of Las Vegas LLC Current Accepting new patients
Ucxtra Umbrella, LLC PastSince Nov 16, 2021 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

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

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

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

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

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

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

1706 W Bonanza Rd
Las Vegas, NV 89106
Phone (702) 631-6860

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

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

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

Organizations & group practices 6

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1962810762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 S. RAINBOW BLVD. STE. 810",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-383-3645",
            "fax_number": "702-227-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 S. RAINBOW BLVD. STE. 810",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-383-3645",
            "fax_number": "702-227-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSULO",
        "first_name": "MARITESS",
        "middle_name": "JUNGCO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARITESS",
            "last_name": "ARCEGA",
            "middle_name": "JUNGCO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.