PATRICK DALE N. GRANADOS
NPI 1740921485
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Patrick Dale Granados's NPI number?

The NPI number for Patrick Dale Granados is 1740921485. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Patrick Dale Granados's specialty?

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

Active since April 06, 2022PECOS Enrolled

3061 S MARYLAND PKWY STE 101, LAS VEGAS, NV 89109(702) 254-5437 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Apr 6, 2022 (2 updates tracked since 2022).

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About Patrick Dale N. Granados NPPES

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

PATRICK DALE N. GRANADOS (NPI 1740921485) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (853291) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740921485

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePATRICK DALE N. GRANADOS

Location Address3061 S MARYLAND PKWY STE 101Las Vegas, NV 89109-6226

Mailing Address3370 Arcata Point AveLas Vegas, NV 89141-3208 · (702) 506-6825

Phone(702) 254-5437

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 6, 2022

Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1740921485 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 · 853291

3061 S MARYLAND PKWY STE 101, Las Vegas, NV 89109

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Dale N. Granados is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951800432

PECOS Enrollment IDI20250820002127

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 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 6

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

MS. ANGELEE SAYLES D.O.

Pediatrics