OrganizationActive
Mediwell Pro Advance Care LLC
NPI 1184336133 · Psychiatry Physician · Henderson, NV
Mediwell Pro Advance Care LLC is a Psychiatry Physician organization in Henderson, NV (NPI 1184336133).
Provider details
- NPI number
- 1184336133
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yaneisy Ravelo, Manager(702) 619-8730
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2161 Eaglecloud Dr
Henderson, NV 89074-1597
Phone: (702) 619-8730
Street-level locationGet directions
Mailing address
2161 Eaglecloud Dr
Henderson, NV 89074-1597
Registry dates
- Enumerated
- 2022-12-21
- Last updated
- 2022-12-21
- Certified
- 2022-12-21
Frequently asked questions
- What is Mediwell Pro Advance Care LLC's NPI number?
- Mediwell Pro Advance Care LLC's National Provider Identifier (NPI) is 1184336133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mediwell Pro Advance Care LLC?
- Mediwell Pro Advance Care LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mediwell Pro Advance Care LLC located?
- Mediwell Pro Advance Care LLC's practice location on file with NPPES is 2161 Eaglecloud Dr, Henderson, NV 89074-1597.
- What is Mediwell Pro Advance Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Mediwell Pro Advance Care LLC is (702) 619-8730.
- Who is the authorized official for Mediwell Pro Advance Care LLC?
- The authorized official listed on Mediwell Pro Advance Care LLC's NPPES record is Yaneisy Ravelo, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mediwell Pro Advance Care LLC's NPI active?
- Yes — Mediwell Pro Advance Care LLC's NPI (1184336133) is active in the NPPES registry as of the last update on 2022-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.