LIEN MATOS LEGRA
NPI 1063126803
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Lien Matos Legra's NPI number?

The NPI number for Lien Matos Legra is 1063126803. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Q: What is Lien Matos Legra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lien Matos Legra was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2023PECOS EnrolledAccepts Medicare Assignment

6350 S DURANGODRIVE, LAS VEGAS, NV 89113(702) 790-8000(702) 437-0476 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Jan 6, 2023 (2 updates tracked since 2023).

On this page

About Lien Matos Legra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIEN MATOS LEGRA (NPI 1063126803) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (836985) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063126803

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLIEN MATOS LEGRA

Location Address6350 S DURANGODRIVELas Vegas, NV 89113

Mailing Address4436 Eureka CirLas Vegas, NV 89103-3234 · (702) 205-6964

Phone(702) 790-8000

Fax(702) 437-0476

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 6, 2023

Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2023

✔ NPI 1063126803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 836985

6350 S DURANGODRIVE, Las Vegas, NV 89113

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lien Matos Legra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769915404

PECOS Enrollment IDI20241106000833

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

105 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lien Matos Legra's NPI number?

The NPI number for Lien Matos Legra is 1063126803. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Lien Matos Legra located?

Lien Matos Legra practices at 6350 S Durangodrive, Las Vegas, NV 89113. The listed phone number is (702) 790-8000.

What is Lien Matos Legra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lien Matos Legra enrolled in Medicare?

Yes. Lien Matos Legra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lien Matos Legra was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.