PRINCESS BERROYA APRN
NPI 1619643392
Nurse Practitioner in Las Vegas, NV

Q: What is Princess Berroya's NPI number?

The NPI number for Princess Berroya is 1619643392. It was assigned to this individual provider in the NPPES registry on August 21, 2021.

Q: What is Princess Berroya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Princess Berroya was last updated on June 9, 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 August 21, 2021PECOS Enrolled

3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109(702) 457-5437(702) 464-5801 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2021, Aug 21, 2021 (2 updates tracked since 2021).

On this page

About Princess Berroya Aprn NPPES

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

PRINCESS BERROYA APRN (NPI 1619643392) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (810155) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619643392

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NamePRINCESS BERROYACredential: APRN

Location Address3201 S MARYLAND PKWY STE 608Las Vegas, NV 89109-2428

Mailing Address3201 S Maryland Pkwy Ste 608Las Vegas, NV 89109-2428 · (702) 457-5437 · Fax (702) 464-5801

Phone(702) 457-5437

Fax(702) 464-5801

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 21, 2021

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1619643392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 810155

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPediatricsTaxonomy 208000000X · License 810155 (NV)

3201 S MARYLAND PKWY STE 608, Las Vegas, NV 89109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Princess Berroya Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880167543

PECOS Enrollment IDI20260624001851

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.

Medicare Billing Reassignment

Medicare enrollment records show Princess Berroya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harold Zilberman M D Chtd

Same address

Pediatrics

3201 S MARYLAND PKWY STE 608
Las Vegas, NV 89109

Reassigned Medicare billing, Nevada enrollment
10 clinicians in this Medicare group

NPI 1942364054 (702) 309-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 13

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

SORA SONG MD

Pediatrics