Individual provider Active NPI

Marphyrose Dirige Galang, MSN, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1972179711
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
841820 Issued in NV
Practice address
2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone
(702) 732-2438
Fax
(702) 737-5043
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 841820 NV
Nurse Practitioner 363L00000X 841820 NV Primary

Addresses

Primary practice location

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778

Mailing address

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone (702) 732-2438

Other identifiers 1

IdentifierTypeStateIssuer
1972179711MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgalang36042@direct.acumenmd.com

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
I20210827002260 NV Practitioner - Nurse Practitioner 5597160697 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
Nkdhc Rudnitsky PLLCGroup PAC ID 1557582210, 44 clinicians

Practice addresses (Care Compare)

2545 S Bruce St
Suite 200
Las Vegas, NV 89169-1731
Phone (702) 732-2438

Hospital & facility affiliations

  • North Vista Hospital Hospital, North Las Vegas, NV, CCN 290005
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
841820NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nkdhc Rudnitsky PLLC CurrentSince Dec 13, 2021 Accepting new patients
Nkdhc Rudnitsky PLLC Past Accepting new patients

Locations

1051 Wellness Pl
Ste 140
Henderson, NV 89011
Phone (702) 289-4037

3051 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 726-6344

2543 S Bruce St
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

5815 S Rainbow Blvd
#110
Las Vegas, NV 89118
Phone (702) 588-7077

1581 Mount Mariah Dr
Ste 150
Las Vegas, NV 89106
Phone (702) 851-7766

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1972179711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANG",
        "first_name": "MARPHYROSE",
        "middle_name": "DIRIGE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "841820",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "841820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972179711",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgalang36042@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2545 S Bruce St Ste 200",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891691778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.