MINDSHIFT PSYCHIATRY PLLC
NPI 1760061691
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since April 07, 2021
1811 S RAINBOW BLVD STE 201, LAS VEGAS, NV 89146(702) 748-9726(702) 608-8528 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Apr 7, 2021 (2 updates tracked since 2021).

About Mindshift Psychiatry Pllc NPPES

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

MINDSHIFT PSYCHIATRY PLLC (NPI 1760061691) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since April 2021. The organization lists Roscelle J Minoza, President, as its authorized official.

NPPES Registry Identity

NPI1760061691
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDSHIFT PSYCHIATRY PLLC
Location Address1811 S RAINBOW BLVD STE 201Las Vegas, NV 89146-0855
Mailing Address10161 Park Run Dr Ste 150Las Vegas, NV 89145-8872 · (702) 748-9726
Fax(702) 608-8528
Organization SubpartNo
Authorized OfficialRoscelle J MinozaPresident · (818) 388-2991
Enumeration DateApril 7, 2021
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1760061691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1811 S RAINBOW BLVD STE 201, Las Vegas, NV 89146

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindshift Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindshift Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1275153884
1811 S RAINBOW BLVD STE 201
Las Vegas, NV 89146
(702) 748-9726
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942907456
1811 S RAINBOW BLVD STE 208
Las Vegas, NV 89146
(702) 748-9726
✔ 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 Mindshift Psychiatry PLLC's NPI number?

The NPI number for Mindshift Psychiatry PLLC is 1760061691. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Mindshift Psychiatry PLLC located?

Mindshift Psychiatry PLLC is located at 1811 S Rainbow Blvd Ste 201, Las Vegas, NV 89146. The listed phone number is (702) 748-9726.

What is Mindshift Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mindshift Psychiatry PLLC enrolled in Medicare?

Yes. Mindshift Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindshift Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindshift Psychiatry PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindshift Psychiatry PLLC was last updated on March 1, 2023. 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.