CHRISTIAN SAN PEDRO
NPI 1457245995
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Christian San Pedro's NPI number?

The NPI number for Christian San Pedro is 1457245995. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Q: What is Christian San Pedro's specialty?

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

Active since June 09, 2025PECOS Enrolled

3247 S MARYLAND PKWY, LAS VEGAS, NV 89109(725) 225-6522 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Jun 9, 2025 (2 updates tracked since 2025).

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About Christian San Pedro NPPES

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

CHRISTIAN SAN PEDRO (NPI 1457245995) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (862959) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457245995

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCHRISTIAN SAN PEDRO

Location Address3247 S MARYLAND PKWYLas Vegas, NV 89109-2412

Mailing Address732 S 6th St Ste NLas Vegas, NV 89101-6948 · (725) 225-6522

Phone(725) 225-6522

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 9, 2025

Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1457245995 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 · 862959

3247 S MARYLAND PKWY, Las Vegas, NV 89109

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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 (PECOS)

Christian San Pedro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385149004

PECOS Enrollment IDI20250924002460

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 89109 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 11

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

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