STACY LEIFRIED (APRN) – Family Nurse Practitioner, NPI 1265490585

STACY LEIFRIED (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN17354 (NV). The NPI Number for STACY LEIFRIED (APRN) is 1265490585

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
STACY LEIFRIED (APRN)
NPI
1265490585
Phone
(702) 579-3297
Address
PO BOX 15645
Enumeration Date
3 May 2006
Last Update Date
2 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7755050810
Graduation Year
1997 (29 years ago)
PAC ID
6305917345
Group Practice PAC ID
5991069643
Professional Enrollment ID
I20080618000328
Address ID
NV890480884PA360XXLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for STACY LEIFRIED (APRN)

  • PO BOX 15645

    LAS VEGAS, NV 891145645

    Phone: (702) 579-3297

    Fax: (702) 800-8235

    Type: Mailing

  • 2370 CORPORATE CIR STE 300

    HENDERSON, NV 890747760

    Phone: (702) 910-3950

    Type: Mailing

  • 100 N GREEN VALLEY PKWY STE 239

    HENDERSON, NV 890747704

    Phone: (702) 844-4841

    Type: Location

  • North Tenaya Way, Tule Springs, Las Vegas, Clark County, Nevada, 89131, United States

    4TH FLOOR

    LAS VEGAS, NV 891280424

    Phone: (702) 877-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080618000328INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991069643View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerOR
Geriatric MedicineAZ
Family PracticeOR
-NV
-NV
Nurse PractitionerNV
Physician AssistantNV
Family PracticeNV
-NV

Reviews

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Frequently asked questions

Can I verify STACY LEIFRIED (APRN) with an NPI only?
You can start verification with NPI 1265490585 for STACY LEIFRIED (APRN), then check state licensing separately.
Does CMS list STACY LEIFRIED (APRN) as active?
Yes — STACY LEIFRIED (APRN) is active in the NPI listing used on this page.
What is STACY LEIFRIED (APRN) best known for clinically?
Directory data describes STACY LEIFRIED (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is STACY LEIFRIED (APRN) based?
STACY LEIFRIED (APRN) is tied to Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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