Active NPI
Lyle Larson, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 866927
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 866927 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amal Kamil Obaid-Schmid, MD PLLC | Current | 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": []
}
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- Loann Kieulam Larsen
- Philip J Larsen, DPM
- Victoria Christine Larsen
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.