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Esmeralda Araceli Clark

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

888 S Rancho Dr, Las Vegas, NV 89106-3810

PECOS Enrollment

This provider is enrolled in PECOS as ESMERALDA CLARK.

Based on the most recent information from CMS, provider Esmeralda Araceli Clark is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265751085
Provider Type
Individual
Full Name
Clark, Esmeralda Araceli
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
5/18/2010
Last Updated
10/23/2025

Contact Information

Practice Location

888 S Rancho Dr, Las Vegas, NV 89106-3810

(702) 877-5199

Unlisted Fax

Mailing Location

PO Box 35380, Las Vegas, NV 89133-5380

(702) 579-3203

(702) 838-1456

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APN001193 Nevada

Provider Identifiers

ID	Description	Issuer
ID 1265751085	Description Medicaid	Issuer Unlisted Nevada
ID V115200	Description Other	Issuer SMA MEDICARE Nevada

Esmeralda Araceli Clark

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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