Individual ProviderMichelle PelagioNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address80 S Martin Luther King Blvd Ste 100, Las Vegas, NV 89106-4325(725) 228-4500PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Pelagio is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437931920Provider TypeIndividualFull NamePelagio, MichelleCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date10/18/2023Last Updated2/13/2026Contact InformationPractice LocationPractice Address80 S Martin Luther King Blvd Ste 100, Las Vegas, NV 89106-4325Phone(725) 228-4500Fax(877) 889-2823Mailing LocationMailing Address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense887419NevadaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95027363California