Leopoldo Castillo Tan Jr., APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

891305 Issued in NV

Practice address

6881 W Charleston Blvd Ste a
Las Vegas, NV 89117-1673

Phone

(702) 802-8411

NPI assigned

Jul 14, 2025

Sex

Male

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Desertbloom Medical LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1376323550
  Medicare reassignment NPD
• New Wave Biologics - Bigelow PC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1699644484
  Medicare reassignment NPD
• Congruence Billing and Management LLC

  • Podiatrist
  • Las Vegas, NV
  • NPI 1356189930
  Medicare reassignment

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1518858703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E STARR AVE UNIT 283",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835055",
            "telephone_number": "949-280-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 W CHARLESTON BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171673",
            "telephone_number": "702-802-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5660 W Flamingo Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032312",
            "country_code": "US",
            "telephone_number": "702-233-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "LEOPOLDO",
        "middle_name": "CASTILLO",
        "name_suffix": "Jr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "891305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Tan, APN-BC
• Keisha Mae Tan
• Kevin Tan, DDS
• Kondrad R Tan, MOT
• Kylie Nicole Tan, BSN, RN
• Maria Eunice D Tan, NP
• Mark Tan, MD
• Medina Tan, FNP-BC
• Nick Tan
• Rhigel Alforque Tan, RN MSN APN

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, 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 Jan 5, 2026; 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.