LILNETRA GRADY (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1619429933

LILNETRA GRADY (NURSE PRACTITIONER) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 209015079 (IL). The NPI Number for LILNETRA GRADY (NURSE PRACTITIONER) is 1619429933

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LILNETRA GRADY (NURSE PRACTITIONER)
NPI
1619429933
Phone
(702) 731-0909
Address
400 SHADOW LN STE 106
Enumeration Date
3 November 2016
Last Update Date
9 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
3476813957
Group Practice PAC ID
7416126362
Professional Enrollment ID
I20180131002640
Address ID
NV891693312LA3343XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

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Provider Addresses for LILNETRA GRADY (NURSE PRACTITIONER)

  • 106, Shadow Lane, West Las Vegas, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891064355

    Phone: (702) 731-0909

    Fax: (702) 826-4767

    Type: Location

  • 8936 SPANISH RIDGE AVE STE 106

    LAS VEGAS, NV 891481354

    Phone: (702) 998-2816

    Fax: (702) 998-2991

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $843.

Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Gilead Sciences, Inc. ($462).

Total Amount

$843

General + Research + Ownership

Payments

18

Total payment records

General Amount

$843

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-01-16

PECOS data refreshed: 2026-05-27

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 89106)

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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: 7416126362View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
P S Y C H I A T R YNV
Clinical Social WorkerNV
P S Y C H I A T R YNV
Nurse PractitionerNV
Nurse PractitionerNV
Clinical Social WorkerNV

Reviews

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Frequently asked questions

What NPI should I save for LILNETRA GRADY (NURSE PRACTITIONER)?
Save NPI 1619429933 if you need a stable reference for LILNETRA GRADY (NURSE PRACTITIONER).
Does this profile mean LILNETRA GRADY (NURSE PRACTITIONER) is currently active?
Yes — LILNETRA GRADY (NURSE PRACTITIONER) appears active in the national provider directory.
What kind of provider is LILNETRA GRADY (NURSE PRACTITIONER)?
The page reflects Family Nurse Practitioner for LILNETRA GRADY (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
What location metadata exists for LILNETRA GRADY (NURSE PRACTITIONER)?
The page summarizes Las Vegas, Nevada for LILNETRA GRADY (NURSE PRACTITIONER); expand the address list for detail.
How can I contact LILNETRA GRADY (NURSE PRACTITIONER)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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