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LILNETRA GRADY NURSE PRACTITIONER
NPI 1619429933
Nurse Practitioner - Family in Las Vegas, NV

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment
400 SHADOW LN STE 106, LAS VEGAS, NV 89106(702) 731-0909(702) 826-4767 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Nov 20, 2018, Nov 3, 2016 (3 updates tracked since 2016).

About Lilnetra Grady Nurse Practitioner NPPES

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

LILNETRA GRADY NURSE PRACTITIONER (NPI 1619429933) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (813525) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619429933
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILNETRA GRADYCredential: NURSE PRACTITIONER
Location Address400 SHADOW LN STE 106Las Vegas, NV 89106-4355
Mailing Address8936 Spanish Ridge Ave Ste 106Las Vegas, NV 89148-1354 · (702) 998-2816 · Fax (702) 998-2991
Phone(702) 731-0909
Fax(702) 826-4767
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 3, 2016
Last NPPES UpdateOctober 9, 20193 updates tracked since enumeration
✔ NPI 1619429933 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
Licenses✔ Licensed in NV · 813525✔ Licensed in IL · 209015079
400 SHADOW LN STE 106, Las Vegas, NV 89106
Open in Google Maps ↗

Other Identifiers 1

Medicaid1619429933NV

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

Lilnetra Grady Nurse Practitioner 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 ID3476813957
PECOS Enrollment IDI20180131002640
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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 12

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

JANICE RICHARDSON
Registered Nurse (Administrator)
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 759-0937
DR. KEITH ALLEN BREILAND M.D.
Psychiatry & Neurology (Psychiatry)
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 731-0909
TIANNA C PENA LCSW
Social Worker (Clinical)
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 731-0909
MRS. JULIA IRENE KANNARD LPC, MS
Counselor (Professional)
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 731-0909
MARIA EMELINA QUISUMBING M.D.
Internal Medicine (Hematology & Oncology)
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 731-0909
ALYSON M. CANNON LMFT
Marriage & Family Therapist
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 731-0909
CYNTHIA CAPURSO
Registered Nurse (Community Health)
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 759-0702
KIMBERLY GENE BLAND CPC; MFT; QMHP
Marriage & Family Therapist
400 SHADOW LN STE 106
LAS VEGAS, NV 89106
Clark County (702) 731-0909

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 Lilnetra Grady's NPI number?

The NPI number for Lilnetra Grady is 1619429933. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Lilnetra Grady located?

Lilnetra Grady practices at 400 Shadow Ln Ste 106, Las Vegas, NV 89106. The listed phone number is (702) 731-0909.

What is Lilnetra Grady's specialty?

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

Is Lilnetra Grady enrolled in Medicare?

Yes. Lilnetra Grady 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 Lilnetra Grady was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.