VITALITY MEDICAL AND WELLNESS CENTER
NPI 1629486113
Nurse Practitioner - Family in Las Vegas, NV

Active since July 28, 2014
5765 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148(702) 731-1200(702) 736-6302 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vitality Medical And Wellness Center NPPES

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

VITALITY MEDICAL AND WELLNESS CENTER (NPI 1629486113) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since July 2014. The organization lists Cristy M Thomas, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1629486113
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY MEDICAL AND WELLNESS CENTER
Location Address5765 S FORT APACHE RD STE 100Las Vegas, NV 89148-5625
Mailing Address5765 S Fort Apache Rd Ste 100Las Vegas, NV 89148-5625 · (702) 731-1200 · Fax (702) 736-6302
Fax(702) 736-6302
Organization SubpartNo
Authorized OfficialCristy M ThomasProvider/owner · (702) 731-1200
Enumeration DateJuly 28, 2014
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1629486113 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 · RN37436
5765 S FORT APACHE RD STE 100, Las Vegas, NV 89148

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Medical And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitality Medical And Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1427087758
5765 S FORT APACHE RD STE 100
Las Vegas, NV 89148
(702) 731-1200
✔ PECOS✔ Accepts MedicareSame address

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

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 Vitality Medical And Wellness Center's NPI number?

The NPI number for Vitality Medical And Wellness Center is 1629486113. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Vitality Medical And Wellness Center located?

Vitality Medical And Wellness Center is located at 5765 S Fort Apache Rd Ste 100, Las Vegas, NV 89148. The listed phone number is (702) 731-1200.

What is Vitality Medical And Wellness Center's specialty?

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

Is Vitality Medical And Wellness Center enrolled in Medicare?

Yes. Vitality Medical And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Medical And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitality Medical And Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vitality Medical And Wellness Center accept?

Health plans from Molina Healthcare list Vitality Medical And Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitality Medical And Wellness Center was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.