Active NPI
Maria Jill Buena Alfonso, APRN, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN56862
- Practice address
- 1330 Karen Ave
Las Vegas, NV 89169-1260 - Phone
- (702) 625-0022
- NPI assigned
- Aug 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN56862 | NV | Primary |
Addresses
Primary practice location
1330 Karen Ave
Las Vegas, NV 89169-1260
Mailing address
3044 Ocean Port Dr
Las Vegas, NV 89117-0210
Phone (702) 612-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230223000455 | NV | Practitioner - Nurse Practitioner | 7618340597 | Reassigns benefits to 7 organizations |
| I20250616003145 | AZ | Practitioner - Nurse Practitioner | 7618340597 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Campbell Univ School of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- JD Medical Group LLC
Practice addresses (Care Compare)
2755 Silver Creek Rd
Suite 107
Bullhead City, AZ 86442-8343
Phone (928) 897-3771
3044 Ocean Port Dr
Las Vegas, NV 89117-0210
3601 W Sahara Ave
Las Vegas, NV 89102-5821
Hospital & facility affiliations
- Radmed Home Health Care, LLC
- Arrow Home Health Care Providers of Nevada LLC
- Brilliant Health System, Inc
- Caring One Home Health
- Always Better Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 27.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Family Practice | Family | Current | Accepting new patients |
| Toe Care on Wheels LLC | Family | Current | Accepting new patients |
| JD Medical Behavioral Health Corp | Family | Current | Accepting new patients |
| Good Samaritan Transitional Care & Wound Specialist | Current | Accepting new patients | |
| Arizona S Advanced Wound Care LLC | Family | Current | Accepting new patients |
| JD Medical Group LLC | Current | Accepting new patients | |
| Toe-Tal Family Footcare | Current | Accepting new patients | |
| JD Medical Group, LLC | Current | Accepting new patients | |
| Toe-Tal Family Footcare Associates | Past | Accepting new patients |
Locations
2755 Silver Creek Rd
Bullhead City, AZ 86442
Phone (725) 251-3522
2755 Silver Creek Rd
Ste 107
Bullhead City, AZ 86442
Phone (725) 251-3522
2604 El Camino Real
Ste 311
Carlsbad, CA 92008
3601 W Sahara Ave
Ste 201
Las Vegas, NV 89102
Phone (725) 251-3522
3601 W Sahara Ave
Ste 211
Las Vegas, NV 89102
Phone (702) 606-1161
9280 W Sunset Rd
Ste 410
Las Vegas, NV 89148
Phone (702) 300-8528
3601 W Sahara Ave
Ste 208
Las Vegas, NV 89102
Phone (702) 570-3624
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509568/r4
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1437723632
NV
-
- Podiatrist
- Vista, CA
- NPI 1801013149
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1750388708
-
- Home Health Agency
- Las Vegas, NV
- NPI 1770246167
-
- Home Health Agency
- Las Vegas, NV
- NPI 1003230574
-
- Home Health Agency
- Las Vegas, NV
- NPI 1598259731
-
- Home Health Agency
- Las Vegas, NV
- NPI 1518619394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1982332227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 OCEAN PORT DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891170210",
"telephone_number": "702-612-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 KAREN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691260",
"telephone_number": "702-625-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO",
"first_name": "MARIA JILL",
"middle_name": "BUENA",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-14",
"last_updated": "2022-08-14",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "RN56862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.