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

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: August 09, 2026.

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

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.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

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.

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.

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
TIFFANY NGO
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.

What insurance does Mark Joel Culanag accept?

Health plans from Ambetter from Arizona Complete Health 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.