RAPHAEL GUARDIAN NP
NPI 1316838964
Nurse Practitioner - Acute Care in Henderson, NV

Active since July 11, 2025PECOS EnrolledAccepts Medicare Assignment
10624 S EASTERN AVE STE A955, HENDERSON, NV 89052(702) 407-7700 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raphael Guardian Np NPPES

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

RAPHAEL GUARDIAN NP (NPI 1316838964) is an individual acute care provider in Henderson, Nevada, licensed in Nevada (890137) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2024).

NPPES Registry Identity

NPI1316838964
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameRAPHAEL GUARDIANCredential: NP
Location Address10624 S EASTERN AVE STE A955Henderson, NV 89052-2982
Mailing Address138 Lomita Heights DrLas Vegas, NV 89138-6158 · (702) 835-3309
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2024
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 2, 2025
NPI 1316838964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NV · 890137
10624 S EASTERN AVE STE A955, Henderson, NV 89052

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

Raphael Guardian Np 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 ID4587169545
PECOS Enrollment IDI20250923000757
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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 6

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

Internal Medicine
10624 S EASTERN AVE STE A955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE STE A955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE STE A955
HENDERSON, NV 89052
Internal Medicine (Hospice and Palliative Medicine)
10624 S EASTERN AVE STE A955
HENDERSON, NV 89052
Nurse Practitioner (Family)
10624 S EASTERN AVE STE A955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE STE A955
HENDERSON, NV 89052

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 Raphael Guardian's NPI number?

The NPI number for Raphael Guardian is 1316838964. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Raphael Guardian located?

Raphael Guardian practices at 10624 S Eastern Ave Ste A955, Henderson, NV 89052. The listed phone number is (702) 407-7700.

What is Raphael Guardian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Raphael Guardian enrolled in Medicare?

Yes. Raphael Guardian 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.

Is Raphael Guardian affiliated with any hospitals?

According to CMS data, Raphael Guardian is affiliated with Summerlin Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Raphael Guardian was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.