AMADO-ALEXANDER AGRISOLA PMHNP-BC
NPI 1326808379
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Amado-alexander Agrisola's NPI number?

The NPI number for Amado-alexander Agrisola is 1326808379. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Amado-alexander Agrisola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 19, 2024PECOS EnrolledAccepts Medicare Assignment

4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103(702) 485-2100(702) 825-0091 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amado-alexander Agrisola Pmhnp-bc NPPES

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

AMADO-ALEXANDER AGRISOLA PMHNP-BC (NPI 1326808379) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (876742) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada, Las Vegas School Of Medicine (2023).

NPPES Registry Identity

NPI1326808379

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameAMADO-ALEXANDER AGRISOLACredential: PMHNP-BC

Location Address4270 S DECATUR BLVD STE B6Las Vegas, NV 89103-6802

Mailing Address3749 Alpine Bypass AveNorth Las Vegas, NV 89081-6617 · (702) 523-0092

Phone(702) 485-2100

Fax(702) 825-0091

Sole ProprietorNo

Medical School CMSUniversity Of Nevada, Las Vegas School Of MedicineGraduated 2023

Enumeration DateMarch 19, 2024

Last NPPES UpdateAugust 16, 2024

NPPES CertifiedAugust 16, 2024

✔ NPI 1326808379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 876742

4270 S DECATUR BLVD STE B6, Las Vegas, NV 89103

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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

Amado-alexander Agrisola Pmhnp-bc 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 ID42754814

PECOS Enrollment IDI20240703002598

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 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.

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Other Providers at the Same Location NPPES 20

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

MR. MICHAEL TODD MATHISEN APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)