MARY KRISTINE HISPANO DARIA APRN, AGACNP-BC
NPI 1386212504
Nurse Practitioner - Acute Care in Henderson, NV

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
58.85/100
CMS Quality Rating
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052(702) 407-7700 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2021, Jun 14, 2021 (2 updates tracked since 2021).

About Mary Kristine Hispano Daria Aprn, Agacnp-bc NPPES

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

MARY KRISTINE HISPANO DARIA APRN, AGACNP-BC (NPI 1386212504) is an individual acute care provider in Henderson, Nevada, licensed in Nevada (842511) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386212504
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY KRISTINE HISPANO DARIACredential: APRN, AGACNP-BC
Location Address10624 S EASTERN AVE STE A-955Henderson, NV 89052-2982
Mailing Address11196 Burning River StLas Vegas, NV 89183-5113 · (702) 918-9217
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 14, 2021
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1386212504 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 · 842511
10624 S EASTERN AVE STE A-955, Henderson, NV 89052

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

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

Mary Kristine Hispano Daria Aprn, Agacnp-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 ID42616633
PECOS Enrollment IDI20210907003110
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
80 services80 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290054
Location6900 N Durango DrLas Vegas, NV 89149 · Clark County
Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.4
Improvement Activities40
Cost49.45

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.

Family Medicine
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Family Medicine
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Internal Medicine (Hospice and Palliative Medicine)
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Nurse Practitioner (Family)
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE STE A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE STE A-955
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 Mary Kristine Daria's NPI number?

The NPI number for Mary Kristine Daria is 1386212504. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Mary Kristine Daria located?

Mary Kristine Daria practices at 10624 S Eastern Ave Ste A-955, Henderson, NV 89052. The listed phone number is (702) 407-7700.

What is Mary Kristine Daria's specialty?

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

Is Mary Kristine Daria enrolled in Medicare?

Yes. Mary Kristine Daria 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 Mary Kristine Daria affiliated with any hospitals?

According to CMS data, Mary Kristine Daria is affiliated with Summerlin Hospital Medical Center, Saint Rose Dominican Hospitals - Siena Campus, Centennial Hills Hospital Medical Center and Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Mary Kristine Daria was last updated on September 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.