Individual ProviderRichelle DampogNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressUmc Primary Care At The Medical District, 1524 Pinto Lane. 2nd Floor, Las Vegas, NV 89106(702) 383-2273(702) 383-2000PECOS EnrollmentBased on the most recent information from CMS, provider Richelle Dampog 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 ID1760009948Provider TypeIndividualFull NameDampog, RichelleGenderFemaleSole ProprietorNoEnumeration Date7/3/2020Last Updated7/31/2025Contact InformationPractice LocationPractice AddressUmc Primary Care At The Medical District, 1524 Pinto Lane. 2nd Floor, Las Vegas, NV 89106Phone(702) 383-2273Fax(702) 383-1982Mailing LocationMailing AddressUniversity Medical Center Of Southern Nevada, 1800 W Charleston Blvd, Las Vegas, NV 89102Phone(702) 383-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense818246Nevada