Primary Care of Southern Nevada
NPI 1821026824 · Internal Medicine Physician · Henderson, NV
Primary Care of Southern Nevada is a Internal Medicine Physician organization in Henderson, NV (NPI 1821026824).
Provider details
- NPI number
- 1821026824
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Van Wagner, Owner(702) 990-0333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-10-23
Frequently asked questions
- What is Primary Care of Southern Nevada's NPI number?
- Primary Care of Southern Nevada's National Provider Identifier (NPI) is 1821026824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care of Southern Nevada?
- Primary Care of Southern Nevada is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Primary Care of Southern Nevada located?
- Primary Care of Southern Nevada's practice location on file with NPPES is 2225 Village Walk Dr, Henderson, NV 89052-5679.
- What is Primary Care of Southern Nevada's phone number?
- The practice phone number listed in the NPPES registry for Primary Care of Southern Nevada is (702) 993-0333.
- Who is the authorized official for Primary Care of Southern Nevada?
- The authorized official listed on Primary Care of Southern Nevada's NPPES record is Kelly Van Wagner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care of Southern Nevada's NPI active?
- Yes — Primary Care of Southern Nevada's NPI (1821026824) is active in the NPPES registry as of the last update on 2007-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.