NICOLE RENEE VAUGHN APRN
NPI 1023469202
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Nicole Vaughn's NPI number?

The NPI number for Nicole Vaughn is 1023469202. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Nicole Renee Manley Aprn.

Q: What is Nicole Vaughn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Vaughn was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment

911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128(702) 405-8088 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2021, Jul 2, 2019, Jun 11, 2019 and 4 more (7 updates tracked since 2016).

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About Nicole Renee Vaughn Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE RENEE VAUGHN APRN (NPI 1023469202) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (APRN002248) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023469202

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE RENEE VAUGHNCredential: APRN

Location Address911 N BUFFALO DR UNIT 213Las Vegas, NV 89128-0381

Mailing AddressPo Box 752003Las Vegas, NV 89136-2003 · (702) 405-8088 · Fax (702) 405-6066

Phone(702) 405-8088

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 28, 2016

Last NPPES UpdateSeptember 29, 20217 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1023469202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · APRN002248

911 N BUFFALO DR UNIT 213, Las Vegas, NV 89128

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Other Names 1

Former Name (1)Nicole Renee Manley Aprn

Secondary Practice Location 1

Location 1222 S Rainbow Blvd, Ste. 114Las Vegas, NV 89145-5340 · Phone (702) 405-8088 · Fax (702) 405-6066

Other Identifiers 1

Medicaid1023469202NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Renee Vaughn Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890081004

PECOS Enrollment IDI20160913002837

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Vaughn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Changing Minds Psychiatry LLC

Same address

Mental Health (Including Community Mental Health Center)

911 N BUFFALO DR UNIT 213
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
66 clinicians in this Medicare group

NPI 1821537242 (702) 405-8088

Changing Minds Medicine LLC

15 mi

Family

2960 W HORIZON RIDGE PKWY
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment

NPI 1205455961 (702) 405-8088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services69 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

148 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%2,605 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

80%1,892 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

34%662 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

26%201 patients2/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

35%378 patients2/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 12% · 33 patients

18%33 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE ESPINOZA

Behavior Analyst