ANTONETTE VERGARA (APRN) – Pain Management Registered Nurse, NPI 1376083394

ANTONETTE VERGARA (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN002468 (NV). The NPI Number for ANTONETTE VERGARA (APRN) is 1376083394

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANTONETTE VERGARA (APRN)
NPI
1376083394
Phone
(702) 476-9999
Address
2809 W CHARLESTON BLVD # 150
Enumeration Date
24 February 2017
Last Update Date
5 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024769999
Graduation Year
2016 (10 years ago)
PAC ID
5496023574
Group Practice PAC ID
8921140641
Professional Enrollment ID
I20170613002831
Address ID
NV891021998LA2809XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for ANTONETTE VERGARA (APRN)

  • 150, West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89102, United States

    LAS VEGAS, NV 891021998

    Phone: (702) 476-9999

    Type: Mailing

  • 1569 E FLAMINGO RD

    LAS VEGAS, NV 891195321

    Phone: (702) 476-9999

    Fax: (702) 946-1343

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Abbott Laboratories ($357).

Total Amount

$357

General + Research + Ownership

Payments

4

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$357
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: 2017-06-13

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
I20170613002831INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes281109$0
99213Established patient office or other outpatient visit, 20-29 minutes3933$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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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: 8921140641View full group profile
NameSpecialtyState
Physician AssistantNV
Pain ManagementNV
Pain ManagementNV
Interventional Pain Management, AnesthesiologyNV
-NV
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Pain ManagementNV
Interventional Pain Management, Physical Medicine And RehabilitationOH

Reviews

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Frequently asked questions

What identifier follows ANTONETTE VERGARA (APRN) across health systems?
The NPI 1376083394 uniquely identifies ANTONETTE VERGARA (APRN) in U.S. healthcare data.
Quick check: is ANTONETTE VERGARA (APRN) active?
Public NPPES data shows ANTONETTE VERGARA (APRN) with an active NPI status right now.
Which specialty label fits ANTONETTE VERGARA (APRN)?
NPPES ties ANTONETTE VERGARA (APRN) to Pain Management Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANTONETTE VERGARA (APRN)?
ANTONETTE VERGARA (APRN) is associated with Las Vegas, Nevada in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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