Individual provider Active NPI

Cristopher R Lipana, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1457934887
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
839429 Issued in NV
Practice address
10837 Beach House Ave
Las Vegas, NV 89166-5095
Phone
(408) 691-7120
NPI assigned
May 3, 2021
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 839429 NV Primary

Addresses

Primary practice location

10837 Beach House Ave
Las Vegas, NV 89166-5095

Mailing address

10837 Beach House Ave
Las Vegas, NV 89166-5095
Phone (408) 691-7120

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210923001779 NV Practitioner - Nurse Practitioner 8325445968 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NCR Medical and Wellness Center LLCGroup PAC ID 3870061518, 2 clinicians
Medical and Behavioral Health Center LLCGroup PAC ID 0143759563, 6 clinicians
Primary Wellness LLCGroup PAC ID 4486016045, 2 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89119
Phone (725) 316-3851

4225 S Eastern Ave
Suite 8
Las Vegas, NV 89119-5485
Phone (702) 201-1956

5120 S Pecos Rd
Las Vegas, NV 89120-1237
Phone (702) 720-4624

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical and Behavioral Health Center LLC CurrentSince Aug 1, 2025 Accepting new patients
TCM for Wellness LLC CurrentSince Mar 1, 2025 Accepting new patients
Sahara West Urgent Care and Wellness LLC CurrentSince Jun 1, 2024 Accepting new patients
Primary Care Providers of Southern Nevada LLC CurrentSince Oct 15, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 14, 2024 Accepting new patients
Primary Wellness LLC CurrentSince Sep 4, 2023 Accepting new patients
Vegas Medical Home Visit LLC CurrentSince May 1, 2022 Accepting new patients

Locations

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

4225 S Eastern Ave
Ste 8
Las Vegas, NV 89119
Phone (702) 201-1956

5120 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 560-5973

6125 W Sahara Ave
#1B
Las Vegas, NV 89146
Phone (702) 248-0554

6166 S Sandhill Rd
Ste 112
Las Vegas, NV 89120
Phone (725) 248-9127

6330 W Flamingo Rd
Unit 107
Las Vegas, NV 89103
Phone (725) 577-9018

6720 N Hualapai Way
Ste 145
Las Vegas, NV 89149
Phone (716) 380-2292

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1457934887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 BEACH HOUSE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665095",
            "telephone_number": "408-691-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 BEACH HOUSE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665095",
            "telephone_number": "408-691-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPANA",
        "first_name": "CRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "839429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.