Individual provider Active NPI

Nicholas Estelle, APRN

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1972311538
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
878557 Issued in NV
Practice address
1815 E Lake Mead Blvd Ste 300
North Las Vegas, NV 89030-7193
Phone
(702) 960-4150
NPI assigned
Dec 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 878557 NV Primary

Addresses

Primary practice location

1815 E Lake Mead Blvd Ste 300
North Las Vegas, NV 89030-7193

Mailing address

5016 Kaslo Ave
Las Vegas, NV 89139-7720
Phone (239) 738-6353

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
I20250115002544 NV Practitioner - Nurse Practitioner 7618405861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis Velazquez MD PLLCGroup PAC ID 4880982552, 11 clinicians

Practice addresses (Care Compare)

1815 E Lake Mead Blvd
Suite 300
North Las Vegas, NV 89030-7193
Phone (702) 960-4150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
878557NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Velazquez MD PLLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

7425 W Azure Dr
Ste 150
Las Vegas, NV 89130
Phone (702) 541-6805

3820 S Hualapai Way
Ste 200
Las Vegas, NV 89147
Phone (702) 796-0231

1815 E Lake Mead Blvd
Ste 300
North Las Vegas, NV 89030
Phone (702) 642-0441

1815 E Lake Mead Blvd
Ste 307
North Las Vegas, NV 89030
Phone (702) 838-9710

Interoperability endpoints

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

Organizations & group practices 1

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": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1972311538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 KASLO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397720",
            "telephone_number": "239-738-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 300",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307193",
            "telephone_number": "702-960-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLE",
        "first_name": "NICHOLAS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "878557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.