LEOPOLDO CASTILLO TAN JR. APRN-CNP
NPI 1518858703
Nurse Practitioner - Family in Las Vegas, NV

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment
6881 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117(702) 802-8411 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leopoldo Castillo Tan Jr. Aprn-cnp NPPES

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

LEOPOLDO CASTILLO TAN JR. APRN-CNP (NPI 1518858703) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (891305) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518858703
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEOPOLDO CASTILLO TAN JR.Credential: APRN-CNP
Location Address6881 W CHARLESTON BLVD STE ALas Vegas, NV 89117-1673
Mailing Address375 E Starr Ave Unit 283Las Vegas, NV 89183-5055 · (949) 280-9436
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 14, 2025
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1518858703 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 · 891305
6881 W CHARLESTON BLVD STE A, Las Vegas, NV 89117

Secondary Practice Location 1

Location 15660 W Flamingo Rd Ste BLas Vegas, NV 89103-2312 · Phone (702) 233-4555

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

Leopoldo Castillo Tan Jr. Aprn-cnp 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 ID8123520624
PECOS Enrollment IDI20250904002910
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

4

Medicare enrollment records show Leopoldo Tan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Podiatrist
6881 W CHARLESTON BLVD STE A-5017
Las Vegas, NV 89117
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
Clinic/Center
931 S 3RD ST
Las Vegas, NV 89101
  • Reassigned Medicare billing, Nevada enrollment
  • 6 clinicians in this Medicare group
Primary Care
801 S RANCHO DR STE B2
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
Family
8905 W POST RD STE 110
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89117 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 Leopoldo Tan's NPI number?

The NPI number for Leopoldo Tan is 1518858703. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Leopoldo Tan located?

Leopoldo Tan practices at 6881 W Charleston Blvd Ste A, Las Vegas, NV 89117. The listed phone number is (702) 802-8411.

What is Leopoldo Tan's specialty?

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

Is Leopoldo Tan enrolled in Medicare?

Yes. Leopoldo Tan 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.

Which organizations bill Medicare for Leopoldo Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leopoldo Tan reassigns Medicare benefits to 4 organizations: Congruence Billing And Management LLC (Las Vegas, NV), Desertbloom Medical LLC (Las Vegas, NV), Trucare Medical Group PLLC (Las Vegas, NV) and New Wave Biologics - Bigelow PC (Las Vegas, NV). Each 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 Leopoldo Tan'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 Leopoldo Tan was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.