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

SACRED HEART WELLNESS CENTER PLLC
NPI 1992682751
Nurse Practitioner in Las Vegas, NV

Q: What is Sacred Heart Wellness Center PLLC's NPI number?

The NPI number for Sacred Heart Wellness Center PLLC is 1992682751. It was assigned to this organization in the NPPES registry on August 21, 2025.

Q: What is Sacred Heart Wellness Center PLLC's specialty?

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

Active since August 21, 2025

840 E TWAIN AVE STE 137, LAS VEGAS, NV 89169(775) 545-8253 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Sacred Heart Wellness Center Pllc NPPES

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

SACRED HEART WELLNESS CENTER PLLC (NPI 1992682751) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since August 2025. The organization lists Emmanuel Tetteh Agbottah, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1992682751

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSACRED HEART WELLNESS CENTER PLLC

Location Address840 E TWAIN AVE STE 137Las Vegas, NV 89169-4025

Mailing Address840 E Twain Ave Ste 137Las Vegas, NV 89169-4025 · (775) 545-8253

Phone(775) 545-8253

Organization SubpartNo

Authorized OfficialEmmanuel Tetteh AgbottahCeo/owner · (774) 262-9933

Enumeration DateAugust 21, 2025

Last NPPES UpdateOctober 19, 2026

NPPES CertifiedOctober 19, 2026

✔ NPI 1992682751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

840 E TWAIN AVE STE 137, Las Vegas, NV 89169

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacred Heart Wellness Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sacred Heart Wellness Center PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Emmanuel Agbottah, FNP

Nurse Practitioner

NPI 1376977199

840 E TWAIN AVE STE 137
Las Vegas, NV 89169

(774) 262-9933

✔ PECOSSame address

Joel Virtudazo, FNP-C.FNP-BC

Nurse Practitioner

NPI 1700677887

26 SNOW POND AVE
Las Vegas, NV 89183

(702) 682-7267

✔ PECOS✔ Accepts Medicare9.9 mi

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 Sacred Heart Wellness Center PLLC's NPI number?

The NPI number for Sacred Heart Wellness Center PLLC is 1992682751. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Sacred Heart Wellness Center PLLC located?

Sacred Heart Wellness Center PLLC is located at 840 E Twain Ave Ste 137, Las Vegas, NV 89169. The listed phone number is (775) 545-8253.

What is Sacred Heart Wellness Center PLLC's specialty?

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

Is Sacred Heart Wellness Center PLLC enrolled in Medicare?

Yes. Sacred Heart Wellness Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacred Heart Wellness Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sacred Heart Wellness Center 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacred Heart Wellness Center PLLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.