GONZALO B GUILLEN III APRN, AGPCNP
NPI 1508756263
Nurse Practitioner - Adult Health in Las Vegas, NV

Q: What is Gonzalo Guillen's NPI number?

The NPI number for Gonzalo Guillen is 1508756263. It was assigned to this individual provider in the NPPES registry on July 5, 2025.

Q: What is Gonzalo Guillen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Gonzalo Guillen was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 05, 2025PECOS Enrolled

2020 WELLNESS WAY STE 300, LAS VEGAS, NV 89106(702) 432-2233(702) 800-5456 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Jul 5, 2025 (2 updates tracked since 2025).

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About Gonzalo B Guillen Iii Aprn, Agpcnp NPPES

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

GONZALO B GUILLEN III APRN, AGPCNP (NPI 1508756263) is an individual adult health provider in Las Vegas, Nevada, licensed in Nevada (891746) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508756263

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameGONZALO B GUILLEN IIICredential: APRN, AGPCNP

Location Address2020 WELLNESS WAY STE 300Las Vegas, NV 89106-4145

Mailing Address1930 Village Center Cir Ste 3-717Las Vegas, NV 89134-6299 · (702) 432-2233 · Fax (702) 800-5456

Phone(702) 432-2233

Fax(702) 800-5456

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 5, 2025

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1508756263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NV · 891746

Also ListedRegistered NurseTaxonomy 163W00000X · License RN73937 (NV)

2020 WELLNESS WAY STE 300, Las Vegas, NV 89106

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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)

Gonzalo B Guillen Iii Aprn, Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032615455

PECOS Enrollment IDI20251003000740

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 89106 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 20

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

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