Stacy Leifried, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00419 Issued in NV

Practice address

100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704

Phone

(702) 844-4841

NPI assigned

May 3, 2006

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

57.73 of 100Reported as group

Quality

65.07

Promoting interoperability

0

Improvement activities

40

Cost

77.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.leifried.1@17520.direct.athenahealth.com

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

• Bacchus PC

  dba P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Optum Medical Group II Rhodes P C

  dba Southwest Medical

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment NPD
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment NPD
• Optum Medical Group Rhodes P C

  dba Optumcare Anesthesia

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1770556037
  NPD
• Jsa Professional Association

  dba Summit Medical Group and Healthcare Partners of Nevada

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1619906211
  NPD (past)
• Robert W Shreck MD LTD

  dba Shreck Family Health Care

  • Health Service Clinic/Center
  • Henderson, NV
  • NPI 1922201896
  NPD (past)
• P3 Health Partners Professional Services PC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1356817332

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1265490585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 239",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747704",
            "telephone_number": "702-844-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFRIED",
        "first_name": "STACY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN00419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN00419",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN17354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265490585",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSBN LICENSE",
            "identifier": "APRN00419",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legend Hospice Inc
• Hannah Lehavi, MFT
• Marilyn Lehrner, O.D.
• Michael Peisach Leibman, M.D.
• Tamara Leibovich
• Necole A Leland, APN
• Karen Anne Lemley, LCSW
• Keyon Lemmon
• Laree Lemmon
• Dallas Lemoine

• 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 Aug 2, 2024; 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.