Look up the most recent NPI and PECOS records

Alice G Velasquez-Leon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3131 La Canada St Ste 200, Las Vegas, NV 89169-2579

PECOS Enrollment

This provider is enrolled in PECOS as ALICE VELASQUEZ-LEON.

Based on the most recent information from CMS, provider Alice G Velasquez-Leon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:46 AM.

Profile Details

Provider ID
1861027450
Provider Type
Individual
Full Name
Velasquez-Leon, Alice G
Credential
APRN-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/4/2020
Last Updated
10/20/2022

Contact Information

Practice Location

3131 La Canada St Ste 200, Las Vegas, NV 89169-2579

(702) 369-5582

(702) 650-5148

Mailing Location

6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

(702) 216-3346

(702) 671-6883

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 829434 Nevada

Provider Identifiers

ID	Description	Issuer
ID 1861027450	Description Medicaid	Issuer Unlisted Nevada
ID 829434	Description Other	Issuer STATE LICENSE Nevada

Alice G Velasquez-Leon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Trice, Janica C

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Badua, Nilda A

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