REYNANTE PENEYRA VILLAHERMOSA
NPI 1649878828
Nurse Practitioner - Family in Las Vegas, NV

Active since October 11, 2020PECOS EnrolledAccepts Medicare Assignment
8115 DANCING BULL CT, LAS VEGAS, NV 89139(702) 885-6457 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2025, Oct 11, 2020 (2 updates tracked since 2020).

About Reynante Peneyra Villahermosa NPPES

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

REYNANTE PENEYRA VILLAHERMOSA (NPI 1649878828) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (834648) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649878828
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameREYNANTE PENEYRA VILLAHERMOSA
Location Address8115 DANCING BULL CTLas Vegas, NV 89139-6702
Mailing Address8115 Dancing Bull CtLas Vegas, NV 89139-6702 · (702) 885-6457
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 11, 2020
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1649878828 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 · 834648
8115 DANCING BULL CT, Las Vegas, NV 89139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reynante Peneyra Villahermosa 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 ID143636977
PECOS Enrollment IDI20210303000329
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 Reassignments

2

Medicare enrollment records show Reynante Villahermosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
6330 W FLAMINGO RD UNIT 106
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
Primary Care
6330 W FLAMINGO RD UNIT 106
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group

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 89139 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 2

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

Nurse Practitioner (Primary Care)
8115 DANCING BULL CT
LAS VEGAS, NV 89139
Nurse Practitioner (Family)
8115 DANCING BULL CT
LAS VEGAS, NV 89139

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 Reynante Villahermosa's NPI number?

The NPI number for Reynante Villahermosa is 1649878828. It was assigned to this individual provider in the NPPES registry on October 11, 2020.

Where is Reynante Villahermosa located?

Reynante Villahermosa practices at 8115 Dancing Bull Ct, Las Vegas, NV 89139. The listed phone number is (702) 885-6457.

What is Reynante Villahermosa's specialty?

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

Is Reynante Villahermosa enrolled in Medicare?

Yes. Reynante Villahermosa 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.

Which organizations bill Medicare for Reynante Villahermosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reynante Villahermosa reassigns Medicare benefits to 2 organizations: Family Health Clinic (Las Vegas, NV) and Ihealth Medical Clinic (Las Vegas, NV). Each 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 Reynante Villahermosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Reynante Villahermosa was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.