Maricel Raymundo Leppala, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

863309 Issued in NV

Practice address

98 E Lake Mead Pkwy Ste 307
Henderson, NV 89015-6444

Phone

(702) 280-2970

Fax

(702) 408-2969

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Khakwani Medical Corporation PCGroup PAC ID 7214207141, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mleppala346564@pdshealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Khakwani Medical Corporation, PC

  dba PDS Medical Group Henderson

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1801304043
  Medicare reassignment Care Compare group NPD
• Bamboo Family Clinic LLC

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1881196012
  Medicare reassignment NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Centennial Hills

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1548121668
  NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Union Village

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1700468204
  NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Green Valley

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1073341079
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Queensridge

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1134847965
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group North Las Vegas

  • Family Medicine Physician
  • North Las Vegas, NV
  • NPI 1366284143
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Durango

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1396190716
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Sahara

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1407517436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1255038451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 COUNTRY SHADOWS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233625",
            "telephone_number": "702-280-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 307",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156444",
            "telephone_number": "702-280-2970",
            "fax_number": "702-408-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPALA",
        "first_name": "MARICEL",
        "middle_name": "RAYMUNDO",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "863309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Patrick Leon, DO
• Vivian Leon
• Samantha Ann Leonard
• Billy Escaba Leonardo, APRN
• Christine Lephart
• Jean K. Lerner, L.C.S.W
• Leslie Howell DO PC
• Michael Allen Lesser, BS RPH
• Amon Denzel Lester, FNP-C
• Let Wellness Prevail Care Center

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.