Individual provider Active NPI

Lyle Larson, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1942174180
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
866927 Issued in NV
Practice address
366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287
Phone
(702) 359-5210
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 866927 NV Primary

Addresses

Primary practice location

366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287

Mailing address

2345 Via Inspirada Ste 100-165
Henderson, NV 89044-1848

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
I20260618001987 NV Practitioner - Nurse Practitioner 4486126653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2345 Via Inspirada
Suite 100 165
Henderson, NV 89044-1848

2960 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-4462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
866927NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amal Kamil Obaid-Schmid, MD PLLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

2960 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (725) 291-5900

2960 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052
Phone (725) 238-0400

Organizations & group practices 1

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": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1942174180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 VIA INSPIRADA STE 100-165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 W LAKE MEAD PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157287",
            "telephone_number": "702-359-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LYLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "866927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.