Active NPI
Lili S Lero, FNP
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN001483
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN001483 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical and Behavioral Health Center LLC | Current | Accepting new patients | |
| Nem-Care LLC | Current | Accepting new patients | |
| Desertbloom Medical LLC | Current | Accepting new patients | |
| Nem-Care LLC | Current | Accepting new patients | |
| DMC Medical Clinic LTD | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.