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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DENICE MARIE ICHINOE DO
NPI 1235766957
Family Medicine - Sports Medicine in Las Vegas, NV

Active since March 24, 2020PECOS Enrolled
2724 N TENAYA WAY FL 2, LAS VEGAS, NV 89128(702) 992-6888 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Feb 12, 2025, Mar 24, 2020 (3 updates tracked since 2020).

About Denice Marie Ichinoe Do NPPES

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

DENICE MARIE ICHINOE DO (NPI 1235766957) is an individual sports medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3807) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2020).

NPPES Registry Identity

NPI1235766957
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameDENICE MARIE ICHINOECredential: DO
Location Address2724 N TENAYA WAY FL 2Las Vegas, NV 89128-0424
Mailing Address2724 N Tenaya Way Fl 2Las Vegas, NV 89128-0424 · (702) 992-6888
Phone(702) 992-6888
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1235766957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NV · DO3807
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2724 N TENAYA WAY FL 2, Las Vegas, NV 89128
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Accepted Insurance

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

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

Denice Marie Ichinoe Do 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 ID4082037643
PECOS Enrollment IDI20250416002925
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 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 3

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

RAUL ENRIQUE MARQUEZ MD
Student in an Organized Health Care Education/Training Program
2724 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 992-6888
JACQUELYNN T LEE M.D.
Plastic Surgery (Surgery of the Hand)
2724 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 671-5110
PABLO GARCIA MPAS, PA-C
Physician Assistant
2724 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 992-6888

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 Denice Marie Ichinoe's NPI number?

The NPI number for Denice Marie Ichinoe is 1235766957. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Denice Marie Ichinoe located?

Denice Marie Ichinoe practices at 2724 N Tenaya Way Fl 2, Las Vegas, NV 89128. The listed phone number is (702) 992-6888.

What is Denice Marie Ichinoe's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Denice Marie Ichinoe enrolled in Medicare?

Yes. Denice Marie Ichinoe 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.

What insurance does Denice Marie Ichinoe accept?

Health plans from Ambetter from Arizona Complete Health list Denice Marie Ichinoe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denice Marie Ichinoe was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.