Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE KASSANDRA CARISSIMI MSN, PMHNP-BC
NPI 1770199341
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Nicole Carissimi's NPI number?

The NPI number for Nicole Carissimi is 1770199341. It was assigned to this individual provider in the NPPES registry on September 19, 2020. The provider is also known as Nicole Minium.

Q: What is Nicole Carissimi's specialty?

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

Q: Is Nicole Carissimi enrolled in Medicare?

No. Nicole Carissimi has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nicole Carissimi was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since September 19, 2020Opted out of Medicare · through Mar 5, 2028

732 S 6TH ST STE N, LAS VEGAS, NV 89101(702) 518-2707(616) 226-4668 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Apr 14, 2026, Dec 31, 2020 and 2 more (5 updates tracked since 2020).

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About Nicole Kassandra Carissimi Msn, Pmhnp-bc NPPES

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

NICOLE KASSANDRA CARISSIMI MSN, PMHNP-BC (NPI 1770199341) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (890790) and active in the NPI registry since September 2020. She has opted out of Medicare through March 5, 2028 and remains eligible to order and refer and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770199341

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE KASSANDRA CARISSIMICredential: MSN, PMHNP-BC

Location Address732 S 6TH ST STE NLas Vegas, NV 89101-6928

Mailing Address732 S 6th St Ste NLas Vegas, NV 89101-6928 · (702) 518-2707 · Fax (616) 226-4668

Phone(702) 518-2707

Fax(616) 226-4668

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 19, 2020

Last NPPES UpdateJuly 20, 20265 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1770199341 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

License✔ Licensed in NV · 890790

732 S 6TH ST STE N, Las Vegas, NV 89101

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Other Names 1

Former Name (1)Nicole Minium

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Kassandra Carissimi Msn, Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2026 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2026

Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89101 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 20

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

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