ANGELA RUPP RN
NPI 1205466752
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Angela Rupp's NPI number?

The NPI number for Angela Rupp is 1205466752. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Q: What is Angela Rupp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Angela Rupp was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 23, 2020PECOS EnrolledAccepts Medicare Assignment

6600 W CHARLESTON BLVD STE 142, LAS VEGAS, NV 89146(702) 440-8430 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2025, Oct 1, 2024, Sep 25, 2024 and 1 more (4 updates tracked since 2020).

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About Angela Rupp Rn NPPES

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

ANGELA RUPP RN (NPI 1205466752) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (828006) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205466752

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANGELA RUPPCredential: RN

Location Address6600 W CHARLESTON BLVD STE 142Las Vegas, NV 89146-1050

Mailing Address6600 W Charleston Blvd Ste 142Las Vegas, NV 89146-1050 · (702) 440-8430

Phone(702) 440-8430

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 23, 2020

Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1205466752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NV · 828006✔ Licensed in AL · 3-002138

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 828006 (NV)

6600 W CHARLESTON BLVD STE 142, Las Vegas, NV 89146

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Rupp Rn 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 ID9537692892

PECOS Enrollment IDI20241025001754

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

Medicare enrollment records show Angela Rupp reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stark Medicine Khurana Jeider PLLC

Same address

Child & Adolescent Psychiatry

6600 W CHARLESTON BLVD STE 140
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Stark Medicine Mckay Khurana Jeider PLLC
34 clinicians in this Medicare group

NPI 1053880856 (725) 246-1483

Lisa A Durette MD PLLC

Same address

Child & Adolescent Psychiatry

6600 W CHARLESTON BLVD STE 140
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
40 clinicians in this Medicare group

NPI 1669679205 (702) 359-9404

Tuba City Regional Health Care Corporation

214 mi

Family Medicine

HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020

Reassigned Medicare billing, Texas enrollment
540 clinicians in this Medicare group

NPI 1134382211 (928) 283-2672

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 89146 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 11

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

VANESSA BELTRAN MARIASIS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)