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

Active since January 06, 2023PECOS Enrolled
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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lien Matos Legra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lien Matos Legra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

True Care Health LLC
3.9 mi
Family Medicine
4455 S JONES BLVD STE 1
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
NPI 1396689246 (702) 743-2613

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Lien Matos Legra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lien Matos Legra reassigns Medicare benefits to True Care Health LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lien Matos Legra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.