Individual provider Active NPI

Pete Akrabowon, FNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992490072
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
810093 Issued in NV
Practice address
6592 N Decatur Blvd Ste 115
Las Vegas, NV 89131-1038
Phone
(702) 396-4993
NPI assigned
Apr 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 810093 NV Primary

Addresses

Primary practice location

6592 N Decatur Blvd Ste 115
Las Vegas, NV 89131-1038

Mailing address

4350 S Hualapai Way Unit 1279
Las Vegas, NV 89147-8573
Phone (818) 554-3160

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
I20230622001608 NV Practitioner - Nurse Practitioner 9436517554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golan Integrated Physical MedicineGroup PAC ID 2365678125, 16 clinicians

Practice addresses (Care Compare)

321 N Pecos Rd
Suite 200
Henderson, NV 89074-1348
Phone (702) 263-4925

3841 W Charleston Blvd
Suite 100
Las Vegas, NV 89102-1899
Phone (702) 870-8060

6592 N Decatur Blvd
Suite 115
Las Vegas, NV 89131-1038
Phone (702) 396-4993

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
810093NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golan Integrated Physical Medicine CurrentSince Jun 1, 2023 Accepting new patients
Golan Integrated Physical Medicine CurrentSince Jun 1, 2023 Accepting new patients

Locations

321 N Pecos Rd
Ste 200
Henderson, NV 89074
Phone (702) 263-4925

6592 N Decatur Blvd
Ste 115
Las Vegas, NV 89131
Phone (702) 396-4993

3841 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 577-5829

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.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1992490072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 S HUALAPAI WAY UNIT 1279",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478573",
            "telephone_number": "818-554-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6592 N DECATUR BLVD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311038",
            "telephone_number": "702-396-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRABOWON",
        "first_name": "PETE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "810093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.