Individual provider Active NPI

Anastasia Vanleuven, PA-C

  • Surgical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1851531305
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1145 Issued in NV
Practice address
7220 S Cimarron Rd
#270
Las Vegas, NV 89113
Phone
(702) 386-4700
Fax
(702) 386-4701
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1145 NV Primary

Addresses

Primary practice location

7220 S Cimarron Rd
#270
Las Vegas, NV 89113

Mailing address

3157 N Rainbow Blvd
#518
Las Vegas, NV 89108-4578
Phone (702) 386-4700

Other identifiers 2

IdentifierTypeStateIssuer
V115285OtherNVMEDICARE PTAN
PA1145OtherNVNEVADA STATE BOARD

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
I20090415000416 NV Practitioner - Physician Assistant 1951458629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen a Gephardt MD LTDGroup PAC ID 7315373982, 7 clinicians

Practice addresses (Care Compare)

7220 S Cimarron Rd
Suite 270
Las Vegas, NV 89113-2160
Phone (702) 912-4100

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
85.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1145NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Gephardt MD LTD CurrentSince Sep 20, 2021 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

825 N Gibson Rd
Ste 420
Henderson, NV 89011
Phone (702) 912-4100

7220 S Cimarron Rd
Ste 270
Las Vegas, NV 89113
Phone (702) 623-5564

Interoperability endpoints

  • Direct secure messaging: anastasiavanleuven@cdss.allscriptsdirect.net

Organizations & group practices 4

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851531305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD",
            "address_2": "#518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD",
            "address_2": "#270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLEUVEN",
        "first_name": "ANASTASIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA1145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V115285",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD",
            "identifier": "PA1145",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.