Individual provider Active NPI

Lili S Lero, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1821425596
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001483 Issued in NV
Practice address
1706 W Bonanza Rd
Las Vegas, NV 89106-4704
Phone
(702) 631-6860
Fax
(702) 631-6864
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 APN001483 NV Primary

Addresses

Primary practice location

1706 W Bonanza Rd
Las Vegas, NV 89106-4704

Mailing address

1706 W Bonanza Rd
Las Vegas, NV 89106-4704
Phone (702) 631-6860

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
I20141006002352 NV Practitioner - Nurse Practitioner 8527288968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical and Behavioral Health Center LLCGroup PAC ID 0143759563, 6 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001483NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical and Behavioral Health Center LLC CurrentSince Jan 20, 2025 Accepting new patients
Nem-Care LLC CurrentSince Mar 1, 2017 Accepting new patients
Desertbloom Medical LLC CurrentSince Mar 20, 2024 Accepting new patients
Nem-Care LLC CurrentSince Mar 1, 2017 Accepting new patients
DMC Medical Clinic LTD PastSince Mar 11, 2025 Accepting new patients

Locations

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

931 S 3rd St
Las Vegas, NV 89101
Phone (702) 268-7522

4440 E Washington Ave
Ste 109
Las Vegas, NV 89110
Phone (702) 255-1114

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1821425596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064704",
            "telephone_number": "702-631-6860",
            "fax_number": "702-631-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064704",
            "telephone_number": "702-631-6860",
            "fax_number": "702-631-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERO",
        "first_name": "LILI",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.