EDENLITA PANGILINAN ANTOLIN
NPI 1609681659
Nurse Practitioner - Family in Las Vegas, NV

Active since February 07, 2025PECOS EnrolledAccepts Medicare Assignment
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 877-5199 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About Edenlita Pangilinan Antolin NPPES

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

EDENLITA PANGILINAN ANTOLIN (NPI 1609681659) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (887231) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609681659
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDENLITA PANGILINAN ANTOLIN
Location Address4475 S EASTERN AVELas Vegas, NV 89119-7826
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 7, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1609681659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NV · 887231
4475 S EASTERN AVE, Las Vegas, NV 89119

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

Edenlita Pangilinan Antolin 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 ID7214459866
PECOS Enrollment IDI20250324001916
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 89119 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.

Obstetrics & Gynecology
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Family Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119

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 Edenlita Antolin's NPI number?

The NPI number for Edenlita Antolin is 1609681659. It was assigned to this individual provider in the NPPES registry on February 7, 2025.

Where is Edenlita Antolin located?

Edenlita Antolin practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 877-5199.

What is Edenlita Antolin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edenlita Antolin enrolled in Medicare?

Yes. Edenlita Antolin 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.

When was this NPI record last updated?

The NPPES record for Edenlita Antolin was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.