MARK JOEL RIVERA CULANAG NP-C
NPI 1306489331
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Mark Joel Culanag's NPI number?

The NPI number for Mark Joel Culanag is 1306489331. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Q: What is Mark Joel Culanag's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Joel Culanag was last updated on December 2, 2022. 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.

Active since October 22, 2019PECOS EnrolledAccepts Medicare Assignment

6843 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103(702) 888-1113(725) 204-5236 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2022, Mar 10, 2020, Nov 4, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Mark Joel Rivera Culanag Np-c NPPES

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

MARK JOEL RIVERA CULANAG NP-C (NPI 1306489331) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (825001) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306489331

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMARK JOEL RIVERA CULANAGCredential: NP-C

Location Address6843 W TROPICANA AVE STE 100Las Vegas, NV 89103-4923

Mailing Address6843 W Tropicana Ave Ste 100Las Vegas, NV 89103-4923 · (702) 888-1113 · Fax (725) 204-5236

Phone(702) 888-1113

Fax(725) 204-5236

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 22, 2019

Last NPPES UpdateDecember 2, 20224 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1306489331 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

License✔ Licensed in NV · 825001

6843 W TROPICANA AVE STE 100, Las Vegas, NV 89103

Open in Google Maps ↗

Other Identifiers 1

Medicaid250004418NV

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

Mark Joel Rivera Culanag Np-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 ID648603902

PECOS Enrollment IDI20191127002484

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 Mark Joel Culanag reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practitioner LLC

Same address

Family

6843 W TROPICANA AVE STE 100
Las Vegas, NV 89103

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

NPI 1922721406 (510) 590-2779

Suresh G Prabhu MD PC

7.0 mi

Internal Medicine

653 N TOWN CENTER DR, 217
Las Vegas, NV 89144

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

NPI 1295757250 (702) 256-3637

Dana Forte D O Ltd

8.8 mi

Family Medicine

9010 W CHEYENNE AVE
Las Vegas, NV 89129

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

NPI 1649209420 (702) 240-8646

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

120 services51 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$168.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CHELSEA TAYLOR APRN

Nurse Practitioner (Psychiatric/Mental Health)

6843 W TROPICANA AVE STE 100
LAS VEGAS, NV 89103

Clark County (702) 888-1113

MARIAH BOOZER

Nurse Practitioner (Family)

6843 W TROPICANA AVE STE 100
LAS VEGAS, NV 89103

Clark County (702) 888-1113

LORIMEL ADELINE SOBERANO LOPEZ-CULANAG NP

Nurse Practitioner (Family)

6843 W TROPICANA AVE STE 100
LAS VEGAS, NV 89103

Clark County (702) 888-1113

ADVANCED PRACTITIONER LLC

Nurse Practitioner (Family)

6843 W TROPICANA AVE STE 100
LAS VEGAS, NV 89103

Clark County (510) 590-2779

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 Mark Joel Culanag's NPI number?

The NPI number for Mark Joel Culanag is 1306489331. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Mark Joel Culanag located?

Mark Joel Culanag practices at 6843 W Tropicana Ave Ste 100, Las Vegas, NV 89103. The listed phone number is (702) 888-1113.

What is Mark Joel Culanag's specialty?

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

Is Mark Joel Culanag enrolled in Medicare?

Yes. Mark Joel Culanag 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.

Which organizations bill Medicare for Mark Joel Culanag's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Joel Culanag reassigns Medicare benefits to 3 organizations: Advanced Practitioner LLC (Las Vegas, NV), Suresh G Prabhu MD PC (Las Vegas, NV) and Dana Forte D O Ltd (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Joel Culanag's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Joel Culanag accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Mark Joel Culanag 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 Mark Joel Culanag was last updated on December 2, 2022. 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.