Individual provider Active NPI

Amanda McKenzie Lepori, CRNA

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1275106296
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
850873 Issued in NV
Practice address
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Phone
(702) 878-0070
Fax
(702) 209-2064
NPI assigned
Jul 19, 2021
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 850873 NV Primary
Critical Care Medicine Registered Nurse 163WC0200X RN86368 NV

Addresses

Primary practice location

7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395

Mailing address

PO Box 840857
Dallas, TX 75284-0857
Phone (725) 204-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301001632 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800280207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician Hospital Organization, LLCGroup PAC ID 8628465721, 30 clinicians
Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians

Practice addresses (Care Compare)

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 829-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN86368NVMDCritical Care Medicine Registered Nurse
850873NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Hospital Organization, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Digestive Health Associates Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Lifelinc Anesthesia Nevada, P.C. Single Specialty CurrentSince May 1, 2023 Accepting new patients
Arizona Anesthesia Consultants, Inc. Single Specialty PastSince Feb 27, 2022 Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

655 Sierra Rose Dr
Reno, NV 89511
Phone (775) 829-7600

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1275106296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840857",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840857",
            "telephone_number": "725-204-4632",
            "fax_number": "702-805-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 RAFAEL RIVERA WAY STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135395",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORI",
        "first_name": "AMANDA",
        "middle_name": "MCKENZIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "850873",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NV",
            "license": "RN86368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.