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PIONEER PEDIATRICS WELLNESS CENTER
NPI 1124910179
Pediatrics in Las Vegas, NV

Active since July 16, 2025
3210 W CHARLESTON BLVD STE 2, LAS VEGAS, NV 89102(702) 370-7842 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2025, Nov 19, 2025 (2 updates tracked since 2025).

About Pioneer Pediatrics Wellness Center NPPES

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

PIONEER PEDIATRICS WELLNESS CENTER (NPI 1124910179) is a healthcare organization registered as a pediatrics in Las Vegas, Nevada and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Las Vegas and lists Priscilla Otoo-adjorlolo, Director, as its authorized official.

NPPES Registry Identity

NPI1124910179
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePIONEER PEDIATRICS WELLNESS CENTER
Location Address3210 W CHARLESTON BLVD STE 2Las Vegas, NV 89102-0080
Mailing Address3210 W Charleston Blvd Ste 2Las Vegas, NV 89102-0080 · (702) 370-7842
Phone(702) 370-7842
Organization SubpartNo
Authorized OfficialPriscilla Otoo-adjorloloDirector · (702) 370-7842
Enumeration DateJuly 16, 2025
Last NPPES UpdateNovember 30, 20252 updates tracked since enumeration
NPPES CertifiedNovember 30, 2025
✔ NPI 1124910179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
3210 W CHARLESTON BLVD STE 2, Las Vegas, NV 89102
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Secondary Practice Location 1

Location 14840 E Bonanza Rd Ste 5Las Vegas, NV 89110-3453 · Phone (702) 370-7842 ext. 07842

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pioneer Pediatrics Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pioneer Pediatrics Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Priscilla Otoo-Adjorlolo, MSW, LCSW
Clinical Social Worker
NPI 1780887463
2785 E DESERT INN RD STE 280
Las Vegas, NV 89121
(702) 370-7842
✔ PECOS✔ Accepts Medicare4.6 mi
Athena Nguyen, FNP-C
Nurse Practitioner
NPI 1023809043
7301 SUNRAY POINT ST
North Las Vegas, NV 89084
(818) 403-8108
✔ PECOS9.2 mi
Jessica Cross, NP
Nurse Practitioner
NPI 1821710062
7993 NOLAN TRL
Snellville, GA 30039
(817) 521-4498
✔ PECOS✔ Accepts Medicare1,767 mi

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

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 Pioneer Pediatrics Wellness Center's NPI number?

The NPI number for Pioneer Pediatrics Wellness Center is 1124910179. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Pioneer Pediatrics Wellness Center located?

Pioneer Pediatrics Wellness Center is located at 3210 W Charleston Blvd Ste 2, Las Vegas, NV 89102. The listed phone number is (702) 370-7842.

What is Pioneer Pediatrics Wellness Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pioneer Pediatrics Wellness Center enrolled in Medicare?

Yes. Pioneer Pediatrics Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pioneer Pediatrics Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pioneer Pediatrics Wellness Center, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pioneer Pediatrics Wellness Center was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.