MR. CARL ANTHONY PLAZA FNP-C
NPI 1790242543
Nurse Practitioner in Las Vegas, NV

Q: What is Carl Plaza's NPI number?

The NPI number for Carl Plaza is 1790242543. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Q: What is Carl Plaza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Plaza was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 28, 2019PECOS EnrolledAccepts Medicare Assignment

540 N NELLIS BLVD, LAS VEGAS, NV 89110(702) 877-5199 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2022, Nov 16, 2020, Feb 28, 2019 (3 updates tracked since 2019).

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About Mr. Carl Anthony Plaza Fnp-c NPPES

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

MR. CARL ANTHONY PLAZA FNP-C (NPI 1790242543) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (816592) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790242543

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. CARL ANTHONY PLAZACredential: FNP-C

Location Address540 N NELLIS BLVDLas Vegas, NV 89110-5368

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199 · Fax (702) 227-0523

Phone(702) 877-5199

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 28, 2019

Last NPPES UpdateMay 4, 20223 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1790242543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 816592

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 816592 (NV)

540 N NELLIS BLVD, Las Vegas, NV 89110

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Secondary Practice Locations 2

Location 16440 W Centennial Pkwy, Unit 155Las Vegas, NV 89149 · Phone (702) 227-3669

Location 23835 S Jones Blvd Ste 104Las Vegas, NV 89103-2283 · Phone (702) 880-4193 · Fax (702) 227-0523

Other Identifiers 1

MedicaidV60791NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Carl Anthony Plaza Fnp-c 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 ID1850622374

PECOS Enrollment IDI20191015002562

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89110 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers13 claims25 services$6.07 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers18 claims23 services$40.14 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier24 claims24 services$4.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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