Individual provider Active NPI

Michelle Anne Norvell, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992176044
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN48699 Issued in NV
Practice address
3200 Soaring Gulls Dr Ste 103
Las Vegas, NV 89129-2198
Phone
(702) 201-1400
Fax
(702) 915-7514
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 RN48699 NV Primary

Addresses

Primary practice location

3200 Soaring Gulls Dr Ste 103
Las Vegas, NV 89129-2198

Mailing address

3200 Soaring Gulls Dr Ste 103
Las Vegas, NV 89129-2198
Phone (702) 201-1400

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
I20160119000737 NV Practitioner - Nurse Practitioner 8325341704

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Girl Spot Medical PC Family Current Accepting new patients

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1992176044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SOARING GULLS DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "702-201-1400",
            "fax_number": "702-915-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOARING GULLS DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "702-201-1400",
            "fax_number": "702-915-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVELL",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "RN48699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.