ABRAHAM AGDAMAG APRN-C
NPI 1730743451
Nurse Practitioner - Family in Las Vegas, NV

Active since April 29, 2019PECOS Enrolled
1641 E FLAMINGO RD STE 7, LAS VEGAS, NV 89119(702) 485-4575(702) 485-4573 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2022, Apr 29, 2019 (2 updates tracked since 2019).

About Abraham Agdamag Aprn-c NPPES

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

ABRAHAM AGDAMAG APRN-C (NPI 1730743451) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (820067) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1730743451
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameABRAHAM AGDAMAGCredential: APRN-C
Location Address1641 E FLAMINGO RD STE 7Las Vegas, NV 89119-5257
Mailing Address5409 Tartan Hill AveLas Vegas, NV 89141-8602
Fax(702) 485-4573
Sole ProprietorYes
Enumeration DateApril 29, 2019
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1730743451 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 · 820067
1641 E FLAMINGO RD STE 7, Las Vegas, NV 89119

Secondary Practice Location 1

Location 15409 Tartan Hill AveLas Vegas, NV 89141-8602 · Phone (702) 334-6019

Other Identifiers 1

Medicaid1730743451NV

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abraham Agdamag Aprn-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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

Nurse Practitioner (Psychiatric/Mental Health)
1641 E FLAMINGO RD STE 7
LAS VEGAS, NV 89119
Marriage & Family Therapist
1641 E FLAMINGO RD STE 7
LAS VEGAS, NV 89119
Nurse Practitioner (Psychiatric/Mental Health)
1641 E FLAMINGO RD STE 7
LAS VEGAS, NV 89119
Nurse Practitioner (Psychiatric/Mental Health)
1641 E FLAMINGO RD STE 7
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 Abraham Agdamag's NPI number?

The NPI number for Abraham Agdamag is 1730743451. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Abraham Agdamag located?

Abraham Agdamag practices at 1641 E Flamingo Rd Ste 7, Las Vegas, NV 89119. The listed phone number is (702) 485-4575.

What is Abraham Agdamag's specialty?

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

Is Abraham Agdamag enrolled in Medicare?

Yes. Abraham Agdamag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abraham Agdamag was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.