Individual provider Active NPI

Cherry M Lee, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1487906673
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001425 Issued in NV
Practice address
10161 Park Run Dr Suite 150
Las Vegas, NV 89145
Phone
(408) 833-3158
Fax
(702) 515-7400
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001425 NV Primary

Addresses

Primary practice location

10161 Park Run Dr Suite 150
Las Vegas, NV 89145

Mailing address

10161 Park Run Dr Suite 150
Las Vegas, NV 89145
Phone (408) 833-3158

Other identifiers 1

IdentifierTypeStateIssuer
1487906673MedicaidNV

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
I20130306000234 NV Practitioner - Nurse Practitioner 1052566577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaj Skin and Wellness Center LLCGroup PAC ID 3173939170, 2 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89145
Phone (725) 527-2704

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8872
Phone (408) 833-3158

Hospital & facility affiliations

  • Comprehensive Health Service, LLC Home health agency, Las Vegas, NV, CCN 297225
  • First Choice Home Care Home health agency, Las Vegas, NV, CCN 297322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Airam5 Nurse Practitioner CurrentSince Sep 10, 2025 Accepting new patients
Imaj Skin & Wellness Center LLC Family CurrentSince Feb 1, 2021 Accepting new patients
Orielle I LLC CurrentSince Sep 20, 2025 Accepting new patients
Vegas Valley Primary Care PastSince Feb 9, 2020 Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
University of Utah Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

10161 Park Run Dr
Ste 150
Las Vegas, NV 89145
Phone (408) 833-3158

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 and National Provider Directory roles.

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1487906673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89145",
            "telephone_number": "408-833-3158",
            "fax_number": "702-515-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89145",
            "telephone_number": "408-833-3158",
            "fax_number": "702-515-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHERRY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487906673",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.