GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) – Nurse Practitioner, NPI 1720794829

GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC, FNP-C. They hold a License No. 863511 (NV). The NPI Number for GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) is 1720794829

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C)
NPI
1720794829
Phone
(702) 983-2010
Address
2225 Village Walk Dr Ste 270
Enumeration Date
23 January 2023
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029832010
Graduation Year
2022 (4 years ago)
PAC ID
8325409485
Group Practice PAC ID
9739496068
Professional Enrollment ID
I20230804003230
Address ID
NV890527810HE2225XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C)

  • 2225 Village Walk Dr Ste 270

    Henderson, NV 890527810

    Phone: (702) 983-2010

    Fax: (702) 476-9202

    Type: Location

  • 8906 SPANISH RIDGE AVE STE 202

    LAS VEGAS, NV 891481319

    Phone: (702) 330-3102

    Fax: (702) 912-4994

    Type: Mailing

  • 6970 S CIMARRON RD # 230

    LAS VEGAS, NV 891132135

    Phone: (702) 871-0303

    Fax: (702) 562-0054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $794.

Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($201).

Total Amount

$794

General + Research + Ownership

Payments

35

Total payment records

General Amount

$794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2023-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230804003230INurse PractitionerNVTBD
I20230918002302INurse PractitionerCOTBD
I20231017003367INurse PractitionerUTTBD

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 89052)

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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: 9739496068View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV

Reviews

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Frequently asked questions

What unique ID ties claims to GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C)?
NPI 1720794829 is assigned to GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) under the national enumeration system.
Does this profile mean GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) is currently active?
Yes — GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) appears active in the national provider directory.
Can you summarize GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C)'s specialty in plain language?
Clinically, the directory lists GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C)'s primary listing?
We display Henderson, Nevada because that is what the record indicates for GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C).
Is GRETCHEN SAN LUIS LUMBAD (FNP-BC, FNP-C) a real provider?
This page reflects official NPPES data for NPI 1720794829. Always confirm identity and privileges with the practice and licensing boards.

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