MIRA JANINE CANLAS HENSON (APRN, FNP-C) – Nurse Practitioner, NPI 1104500735

MIRA JANINE CANLAS HENSON (APRN, FNP-C) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 868163 (NV). The NPI Number for MIRA JANINE CANLAS HENSON (APRN, FNP-C) is 1104500735

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MIRA JANINE CANLAS HENSON (APRN, FNP-C)
NPI
1104500735
Phone
(858) 531-1870
Address
253 RUSTIC CLUB WAY
Enumeration Date
14 June 2023
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
7024322233
Graduation Year
2017 (9 years ago)
PAC ID
8022472463
Group Practice PAC ID
7315257797
Professional Enrollment ID
I20230918003895
Address ID
NV891064145LA2020XWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MIRA JANINE CANLAS HENSON (APRN, FNP-C)

  • 253 RUSTIC CLUB WAY

    LAS VEGAS, NV 891485202

    Phone: (858) 531-1870

    Type: Mailing

  • 2020 WELLNESS WAY

    LAS VEGAS, NV 891064144

    Phone: (702) 432-2233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $3,756.

Total Amount is formed as General ($3,756) + Research ($0) + Ownership ($0) = $3,756.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: LivaNova USA, Inc. ($1,084).

Total Amount

$3,756

General + Research + Ownership

Payments

118

Total payment records

General Amount

$3,756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230918003895INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 89148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315257797View full group profile
NameSpecialtyState
N E U R O L O G YNV
N E U R O L O G YNV
N E U R O L O G YNV
N E U R O L O G YNV
Nurse PractitionerNV
Nurse PractitionerNV
Neurology, Geriatric PsychiatryNV
Nurse PractitionerND
N E U R O L O G YNV
N E U R O L O G YCA

Reviews

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Frequently asked questions

Does MIRA JANINE CANLAS HENSON (APRN, FNP-C) have a public NPI I can cite?
Public records show MIRA JANINE CANLAS HENSON (APRN, FNP-C) under NPI 1104500735.
Is MIRA JANINE CANLAS HENSON (APRN, FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists MIRA JANINE CANLAS HENSON (APRN, FNP-C) as active.
How should patients interpret MIRA JANINE CANLAS HENSON (APRN, FNP-C)'s specialty?
The extract shows Nurse Practitioner for MIRA JANINE CANLAS HENSON (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
Is MIRA JANINE CANLAS HENSON (APRN, FNP-C) tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, MIRA JANINE CANLAS HENSON (APRN, FNP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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