DOMINIC MASON ETLI APRN
NPI 1962934885
Nurse Practitioner in Las Vegas, NV
About Dominic Mason Etli Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIC MASON ETLI APRN (NPI 1962934885) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (APRN002559) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominic Mason Etli Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Dominic Etli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89106
- Reassigned Medicare billing, Nevada enrollment
- 406 clinicians in this Medicare group
Las Vegas, NV 89119
- Reassigned Medicare billing, Nevada enrollment
- 124 clinicians in this Medicare group
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 608 clinicians in this Medicare group
Reno, NV 89511
- Reassigned Medicare billing, Nevada enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 Dominic Etli's NPI number?
The NPI number for Dominic Etli is 1962934885. It was assigned to this individual provider in the NPPES registry on March 30, 2017.
Where is Dominic Etli located?
Dominic Etli practices at 540 N Nellis Blvd, Las Vegas, NV 89110. The listed phone number is (702) 877-5199.
What is Dominic Etli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dominic Etli enrolled in Medicare?
Yes. Dominic Etli is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dominic Etli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Etli reassigns Medicare benefits to 4 organizations: Southwest Medical Associates, Inc (Las Vegas, NV), Yang Medical Services, PLLC (Las Vegas, NV), Optum Medical Group II Rhodes P C (Las Vegas, NV) and American Current Care PA (Reno, NV). Each 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 Dominic Etli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dominic Etli was last updated on December 22, 2021. 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.
# Dominic Mason Etli, APRN · NPI 1962934885
Nurse Practitioner physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1962934885 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN002559 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 540 N NELLIS BLVD, Las Vegas, NV 89110-5368
- **Phone:** (702) 877-5199
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Southwest Medical Associates, Inc (NPI 1659346005, Las Vegas, NV); Yang Medical Services, PLLC (NPI 1538729322, Las Vegas, NV); Optum Medical Group II Rhodes P C (NPI 1790329407, Las Vegas, NV); American Current Care PA (NPI 1487996054, Reno, NV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2021
- **Other identifiers:** Other V59731 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1962934885) · Data from the CMS NPPES public registry.