Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Benjamin Cabasada Jr., AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1326405408

Mr. Benjamin Cabasada Jr., AGPCNP-BC is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Nevada.

Years since qualifying
11
Licensed in
MD, NV
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Phone: (702) 216-3346
Fax: (702) 671-6883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 W Oakey Blvd, Las Vegas, NV 89102-1527 — (702) 873-5110

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN002146 (NV)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN00214600 (NV)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence R199626 (MD)

Record details

NPI number1326405408
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedJanuary 21, 2016
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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