Individual provider Active NPI

Leanne Cedarstrom Neu

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1790662138
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
890157 Issued in NV
Practice address
5660 W Flamingo Rd Ste B
Las Vegas, NV 89103-2312
Phone
(702) 890-8147
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 890157 NV Primary

Addresses

Primary practice location

5660 W Flamingo Rd Ste B
Las Vegas, NV 89103-2312

Mailing address

63 Tall Ruff Dr
Las Vegas, NV 89148-5243
Phone (480) 678-4054

Other names 1

  • Leanne Lind Cedarstrom Former name

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
I20251205001990 NV Practitioner - Nurse Practitioner 9830682046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3022 S Durango Dr
Suite 100
Las Vegas, NV 89117-4440

63 Tall Ruff Dr
Las Vegas, NV 89148-5243

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
890157NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic Ricciardi MD LTD Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Diola Elite Wound Care PLLC Multi-Specialty CurrentSince Oct 8, 2025 Accepting new patients

Locations

3280 N Rainbow Blvd
#150
Las Vegas, NV 89108
Phone (702) 489-9000

5572 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 492-8281

Interoperability endpoints

  • Direct secure messaging: leanne.neu@820126323310596.direct.elationemr.com

Organizations & group practices 2

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 1

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1790662138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 TALL RUFF DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485243",
            "telephone_number": "480-678-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 W FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032312",
            "telephone_number": "702-890-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "LEANNE",
        "middle_name": "CEDARSTROM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "890157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "CEDARSTROM",
            "middle_name": "LIND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.