MRS. MARA LEANNA KRISTINA ALICDAN BISHOP APRN
NPI 1417721986
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Mara Leanna Kristina Bishop's NPI number?

The NPI number for Mara Leanna Kristina Bishop is 1417721986. It was assigned to this individual provider in the NPPES registry on November 14, 2023. The provider is also known as Ms. Mara Leanna Kristina Alicdan Pallera Aprn.

Q: What is Mara Leanna Kristina Bishop's specialty?

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

Active since November 14, 2023PECOS EnrolledAccepts Medicare Assignment

1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 383-3648(702) 383-2627 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2024, Feb 8, 2024, Nov 14, 2023 (3 updates tracked since 2023).

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About Mrs. Mara Leanna Kristina Alicdan Bishop Aprn NPPES

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

MRS. MARA LEANNA KRISTINA ALICDAN BISHOP APRN (NPI 1417721986) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (873782) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417721986

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARA LEANNA KRISTINA ALICDAN BISHOPCredential: APRN

Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2386

Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2386 · (702) 383-2620

Phone(702) 383-3648

Fax(702) 383-2627

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 14, 2023

Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1417721986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NV · 873782

Also ListedRegistered NurseTaxonomy 163W00000X · License RN80211 (NV)

1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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Other Names 1

Former Name (1)Ms. Mara Leanna Kristina Alicdan Pallera Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mara Leanna Kristina Alicdan Bishop Aprn 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 ID3274970017

PECOS Enrollment IDI20240328001102

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 Reassignments

Medicare enrollment records show Mara Leanna Kristina Bishop reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Center Of Southern Nevada

Same address

General Acute Care Hospital

1800 W. CHARLESTON BLVD.
Las Vegas, NV 89102

Reassigned Medicare billing, Nevada enrollment
522 clinicians in this Medicare group

NPI 1548393127 (702) 383-2000

Yu Neurology And Electrodiagnostic Center Of Nevada Ltd

Clinical Neurophysiology

2430 W HORIZON RIDGE PKWY
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
14 clinicians in this Medicare group

NPI 1851314264 (702) 247-9994

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number290007

Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL M LEE MD

Internal Medicine