PSYCHGENESIS MEDICAL, PLLC
NPI 1265131676
Nurse Practitioner - Family in Las Vegas, NV

Active since February 24, 2023
5695 OAK ST, LAS VEGAS, NV 89120(702) 849-3767(702) 441-1652 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Sep 3, 2025, Mar 6, 2025 and 1 more (4 updates tracked since 2023).

About Psychgenesis Medical, Pllc NPPES

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

PSYCHGENESIS MEDICAL, PLLC (NPI 1265131676), doing business as Psycgenesis Medical, Pllc, is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since February 2023. The organization lists Eva Maria Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1265131676
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePSYCHGENESIS MEDICAL, PLLC
Location Address5695 OAK STLas Vegas, NV 89120-1936
Mailing Address5695 Oak StLas Vegas, NV 89120-1936 · (702) 849-3767 · Fax (702) 441-1652
Fax(702) 441-1652
Organization SubpartNo
Authorized OfficialEva Maria RiveraOwner · (702) 849-3767
Enumeration DateFebruary 24, 2023
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1265131676 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
5695 OAK ST, Las Vegas, NV 89120

Other Names 1

Doing Business AsPsycgenesis Medical, Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
5695 OAK ST
LAS VEGAS, NV 89120

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 Psychgenesis Medical, PLLC's NPI number?

The NPI number for Psychgenesis Medical, PLLC is 1265131676. It was assigned to this organization in the NPPES registry on February 24, 2023. The provider is doing business as PsycGenesis Medical, PLLC.

Where is Psychgenesis Medical, PLLC located?

Psychgenesis Medical, PLLC is located at 5695 Oak St, Las Vegas, NV 89120. The listed phone number is (702) 849-3767.

What is Psychgenesis Medical, PLLC's specialty?

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

What insurance does Psychgenesis Medical, PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Psychgenesis Medical, PLLC 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 Psychgenesis Medical, PLLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.