MRS. IVANA P. FUKUMOTO NP-C
NPI 1114234630
Nurse Practitioner - Family in Henderson, NV

Q: What is Ivana Fukumoto's NPI number?

The NPI number for Ivana Fukumoto is 1114234630. It was assigned to this individual provider in the NPPES registry on September 3, 2010.

Q: What is Ivana Fukumoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ivana Fukumoto was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 September 03, 2010PECOS Enrolled

2350 CORPORATE CIR STE 201, HENDERSON, NV 89074(702) 562-8900(702) 407-0266 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Jun 20, 2025, Nov 3, 2022 and 2 more (5 updates tracked since 2016).

On this page

About Mrs. Ivana P. Fukumoto Np-c NPPES

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

MRS. IVANA P. FUKUMOTO NP-C (NPI 1114234630) is an individual family provider in Henderson, Nevada, licensed in Nevada (APN001217) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1114234630

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. IVANA P. FUKUMOTOCredential: NP-C

Location Address2350 CORPORATE CIR STE 201Henderson, NV 89074-7737

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346

Phone(702) 562-8900

Fax(702) 407-0266

Sole ProprietorNo

Enumeration DateSeptember 3, 2010

Last NPPES UpdateMay 21, 20265 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1114234630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · APN001217

2350 CORPORATE CIR STE 201, Henderson, NV 89074

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Secondary Practice Location 1

Location 11799 Mount Mariah DrLas Vegas, NV 89106-1501 · Phone (800) 787-2568

Other Identifiers 2

OtherAPRN001217NV · License

Medicaid1114234630NV

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ivana P. Fukumoto Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89074 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.

Other Providers at the Same Location NPPES 2

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

EUGENE EARL SCHNITZLER MD

Pediatrics

2350 CORPORATE CIR STE 201
HENDERSON, NV 89074

Clark County (702) 562-8900

JENNIFER ROMO-SANTISTEVAN M.D.

Pediatrics

2350 CORPORATE CIR STE 201
HENDERSON, NV 89074

Clark County (702) 562-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivana Fukumoto's NPI number?

The NPI number for Ivana Fukumoto is 1114234630. It was assigned to this individual provider in the NPPES registry on September 3, 2010.

Where is Ivana Fukumoto located?

Ivana Fukumoto practices at 2350 Corporate Cir Ste 201, Henderson, NV 89074. The listed phone number is (702) 562-8900.

What is Ivana Fukumoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ivana Fukumoto enrolled in Medicare?

Yes. Ivana Fukumoto is registered in the Medicare PECOS enrollment system.

What insurance does Ivana Fukumoto accept?

Health plans from Ambetter from Arizona Complete Health list Ivana Fukumoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivana Fukumoto was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.