Ivana Fukumoto, NP-C
NPI 1114234630 · Family Nurse Practitioner · Henderson, NV
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivana Fukumoto, NP-C is a Family Nurse Practitioner provider in Henderson, NV (NPI 1114234630).
Provider details
- NPI number
- 1114234630
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- APN001217 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1799 Mount Mariah DrLas Vegas, NV 89106-1501Phone: (800) 787-2568
Registry dates
- Enumerated
- 2010-09-03
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Ivana Fukumoto's NPI number?
- Ivana Fukumoto's National Provider Identifier (NPI) is 1114234630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivana Fukumoto's specialty?
- Ivana Fukumoto is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivana Fukumoto located?
- Ivana Fukumoto's practice location on file with NPPES is 2350 Corporate Cir Ste 201, Henderson, NV 89074-7737.
- What is Ivana Fukumoto's phone number?
- The practice phone number listed in the NPPES registry for Ivana Fukumoto is (702) 562-8900.
- Does Ivana Fukumoto accept Medicare?
- Ivana Fukumoto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivana Fukumoto's NPI active?
- Yes — Ivana Fukumoto's NPI (1114234630) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.