MIA LAISA THIBAULT FNP-C
NPI 1144946013
Nurse Practitioner in Las Vegas, NV

Q: What is Mia Laisa Thibault's NPI number?

The NPI number for Mia Laisa Thibault is 1144946013. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Q: What is Mia Laisa Thibault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 12, 2022PECOS EnrolledAccepts Medicare Assignment

2800 N TENAYA WAY, SUITE 101, LAS VEGAS, NV 89128(725) 258-7337 Get Directions Write a Review

NPPES record last updated: February 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2023, Nov 4, 2022, Oct 12, 2022 (3 updates tracked since 2022).

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About Mia Laisa Thibault Fnp-c NPPES

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

MIA LAISA THIBAULT FNP-C (NPI 1144946013) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (860389) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144946013

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIA LAISA THIBAULTCredential: FNP-C

Location Address2800 N TENAYA WAY, SUITE 101Las Vegas, NV 89128

Mailing Address2800 N Tenaya Way, Suite 101Las Vegas, NV 89128 · (725) 258-7337

Phone(725) 258-7337

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 12, 2022

Last NPPES UpdateFebruary 18, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2023

✔ NPI 1144946013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 860389

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2800 N TENAYA WAY, Las Vegas, NV 89128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mia Laisa Thibault Fnp-c 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 ID1951772698

PECOS Enrollment IDI20230117002138

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.

Areas of Expertise CMS Part B claims 8

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

375 services62 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

329 services55 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

317 services23 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

76 services18 patients

Removal of inflamed or infected skin, up to 10% of body surface 11000

This procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.

72 services20 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

37 services37 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.

Other Providers at the Same Location NPPES 8

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

ZAID NAJI MD

Internal Medicine

2800 N TENAYA WAY
LAS VEGAS, NV 89128

Clark County (702) 962-9540

ALEXANDRA DAVIS PA-C

Physician Assistant

2800 N TENAYA WAY
LAS VEGAS, NV 89128

Clark County (702) 202-2700

WESTSIDE CARDIOLOGY

Specialist

2800 N TENAYA WAY, SUITE 202
LAS VEGAS, NV 89128

Clark County (702) 255-8877

DR. ROZELA MELGOZA CAMPBELL AU.D.

Audiologist

2800 N TENAYA WAY
LAS VEGAS, NV 89128

Clark County (210) 842-7840

JAMES E. MOCK MD

Internal Medicine (Cardiovascular Disease)

2800 N TENAYA WAY, SUITE 202
LAS VEGAS, NV 89128

Clark County (702) 255-8877

TENAYA SURGICAL CENTER, LLC

Clinic/Center (Ambulatory Surgical)

2800 N TENAYA WAY, SUITE 101
LAS VEGAS, NV 89128

Clark County (702) 838-7755

TAMAR BETH SYTNER

Nurse Practitioner

2800 N TENAYA WAY
LAS VEGAS, NV 89128

Clark County (516) 606-9356

RIFLEY INSTITUTE OF COSMETIC SURGERY

Non-Pharmacy Dispensing Site

2800 N TENAYA WAY, STE 201
LAS VEGAS, NV 89128

Clark County (702) 242-4616

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 Mia Laisa Thibault's NPI number?

The NPI number for Mia Laisa Thibault is 1144946013. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Mia Laisa Thibault located?

Mia Laisa Thibault practices at 2800 N Tenaya Way Suite 101, Las Vegas, NV 89128. The listed phone number is (725) 258-7337.

What is Mia Laisa Thibault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mia Laisa Thibault enrolled in Medicare?

Yes. Mia Laisa Thibault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mia Laisa Thibault was last updated on February 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.