Individual provider Active NPI

John Collis Valdez Lacy, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1588119358
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002311 Issued in NV
Practice address
7391 W Charleston Blvd
Suite 140
Las Vegas, NV 89117-1577
Phone
(702) 304-2144
Fax
(702) 304-2147
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 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 002311 NV Primary

Addresses

Primary practice location

7391 W Charleston Blvd
Suite 140
Las Vegas, NV 89117-1577

Mailing address

7391 W Charleston Blvd
Suite 140
Las Vegas, NV 89117-1577
Phone (702) 304-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161101001815 NV Practitioner - Nurse Practitioner 6800174525 Reassigns benefits to 4 organizations
I20250807001388 HI Practitioner - Nurse Practitioner 6800174525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Specialists LLCGroup PAC ID 7214974971, 12 clinicians

Practice addresses (Care Compare)

6867 W Charleston Blvd
Suite 100
Las Vegas, NV 89117-1669
Phone (702) 396-4165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
40.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002311NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialists, LLC CurrentSince Mar 10, 2019 Accepting new patients
Pomaikai Wound Care LLC CurrentSince Jun 17, 2025 Accepting new patients
Restorix CurrentSince Feb 6, 2025 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Roberto C Chuapoco MD a Professional Corporation CurrentSince Dec 31, 2017 Accepting new patients
Valley Primary Care Center LLC PastSince Nov 28, 2021 Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 108
Aiea, HI 96701
Phone (808) 488-6846

916 Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-5042

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

6867 W Charleston Blvd
Ste 100
Las Vegas, NV 89117
Phone (702) 396-4165

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

8905 W Post Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 523-6615

8501 Del Webb Blvd
Las Vegas, NV 89134
Phone (702) 303-3523

6867 W Charleston Blvd
Ste B
Las Vegas, NV 89117
Phone (702) 266-6150

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

7500 W Lake Mead Blvd
#9171
Las Vegas, NV 89128

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

3211 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 444-7796

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

Organizations & group practices 6

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 4

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1588119358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD",
            "address_2": "SUITE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD",
            "address_2": "SUITE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "JOHN COLLIS",
        "middle_name": "VALDEZ",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "002311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.