AMAURI SANTIAGO ROSALES PONCE DE LEON APRN-CNP - NPI 1205454295

Q: What is Amauri Rosales Ponce De Leon's NPI number?

The NPI number for Amauri Rosales Ponce De Leon is 1205454295. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Q: What is Amauri Rosales Ponce De Leon's specialty?

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

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About Amauri Santiago Rosales Ponce De Leon Aprn-cnp NPPES

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

AMAURI SANTIAGO ROSALES PONCE DE LEON APRN-CNP (NPI 1205454295) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (841192) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205454295

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameAMAURI SANTIAGO ROSALES PONCE DE LEONCredential: APRN-CNP

Location Address3430 E FLAMINGO RD STE 104Las Vegas, NV 89121-5070

Mailing Address546 N Eastern Ave Ste 140Las Vegas, NV 89101-3485 · (702) 778-7614 · Fax (702) 778-7615

Phone(702) 703-9070

Fax(702) 977-4760

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 7, 2020

Last NPPES UpdateFebruary 28, 2026

NPPES CertifiedFebruary 28, 2026

✔ NPI 1205454295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NV · 841192

Also ListedRegistered NurseTaxonomy 163W00000X · License 841192 (NV)

3430 E FLAMINGO RD STE 104, Las Vegas, NV 89121

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Secondary Practice Location 1

Location 1546 N Eastern AveLas Vegas, NV 89101-3481 · Phone (702) 778-7614 · Fax (702) 778-7615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amauri Santiago Rosales Ponce De Leon Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749710259

PECOS Enrollment IDI20260330003834

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 89121 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.

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

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