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MR. JULIO ARVIE MATA MADARAZO JR. MSN, APRN-CNP, FNP-C
NPI 1144828849
Nurse Practitioner - Family in Las Vegas, NV

Active since October 14, 2020PECOS Enrolled
6284 CANVASBACK AVE, LAS VEGAS, NV 89122(408) 300-4540 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Julio Arvie Mata Madarazo Jr. Msn, Aprn-cnp, Fnp-c NPPES

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

MR. JULIO ARVIE MATA MADARAZO JR. MSN, APRN-CNP, FNP-C (NPI 1144828849) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (810265) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144828849
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JULIO ARVIE MATA MADARAZO JR.Credential: MSN, APRN-CNP, FNP-C
Location Address6284 CANVASBACK AVELas Vegas, NV 89122-3545
Mailing Address6284 Canvasback AveLas Vegas, NV 89122-3545 · (408) 300-4540
Phone(408) 300-4540
Sole ProprietorNo
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 11, 2020
✔ NPI 1144828849 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 · 810265
6284 CANVASBACK AVE, Las Vegas, NV 89122
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Julio Arvie Mata Madarazo Jr. Msn, Aprn-cnp, Fnp-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.

Medicare Billing Reassignments

2

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

Vista Medical Associates LLC
8.5 mi
Family Medicine
2909 W CHARLESTON BLVD
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
NPI 1962403121 (702) 798-1233
Valley Primary Care Center LLC
12 mi
Primary Care
6867 W CHARLESTON BLVD STE B
Las Vegas, NV 89117
  • Reassigned Medicare billing, Nevada enrollment
  • 17 clinicians in this Medicare group
NPI 1568659381 (702) 921-6823

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89122 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier25 claims2,024 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims659 services$7.12 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims354 services$15.89 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims161 services$3.25 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
1 supplier26 claims466 services$3.14 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier25 claims1,803 services$0.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DEYLIS LETICIA HEREDIA ALONSO RN
Registered Nurse
6284 CANVASBACK AVE
LAS VEGAS, NV 89122
Clark County (702) 488-7534

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 Julio Arvie Madarazo's NPI number?

The NPI number for Julio Arvie Madarazo is 1144828849. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Julio Arvie Madarazo located?

Julio Arvie Madarazo practices at 6284 Canvasback Ave, Las Vegas, NV 89122. The listed phone number is (408) 300-4540.

What is Julio Arvie Madarazo's specialty?

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

Is Julio Arvie Madarazo enrolled in Medicare?

Yes. Julio Arvie Madarazo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Julio Arvie Madarazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julio Arvie Madarazo reassigns Medicare benefits to 2 organizations: Vista Medical Associates LLC (Las Vegas, NV) and Valley Primary Care Center LLC (Las Vegas, NV). Each 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 Julio Arvie Madarazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julio Arvie Madarazo was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.