LYDIA B ESTANISLAO PLLC
NPI 1770967481
Psychiatry & Neurology - Neurology in Las Vegas, NV

Active since July 13, 2015
4206 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 985-0118 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lydia B Estanislao Pllc NPPES

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

LYDIA B ESTANISLAO PLLC (NPI 1770967481) is a healthcare organization registered as a neurology in Las Vegas, Nevada and active in the NPI registry since July 2015. The organization lists Lydia B Estanislao, Member, as its authorized official.

NPPES Registry Identity

NPI1770967481
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLYDIA B ESTANISLAO PLLC
Location Address4206 W CHARLESTON BLVDLas Vegas, NV 89102-1625
Mailing Address4206 W Charleston BlvdLas Vegas, NV 89102-1625 · (702) 985-0118
Organization SubpartNo
Authorized OfficialLydia B EstanislaoMember · (702) 985-0118
Enumeration DateJuly 13, 2015
✔ NPI 1770967481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4206 W CHARLESTON BLVD, Las Vegas, NV 89102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia B Estanislao Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lydia B Estanislao PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Neurology
NPI 1154375798
4206 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 331-6709
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669665097
1455 E KATIE AVE K 13
Las Vegas, NV 89119
(702) 732-1877
✔ PECOS✔ Accepts Medicare4.5 mi

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

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 Lydia B Estanislao PLLC's NPI number?

The NPI number for Lydia B Estanislao PLLC is 1770967481. It was assigned to this organization in the NPPES registry on July 13, 2015.

Where is Lydia B Estanislao PLLC located?

Lydia B Estanislao PLLC is located at 4206 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 985-0118.

What is Lydia B Estanislao PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lydia B Estanislao PLLC enrolled in Medicare?

Yes. Lydia B Estanislao PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lydia B Estanislao PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lydia B Estanislao PLLC, in Neurology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lydia B Estanislao PLLC accept?

Health plans from Molina Healthcare list Lydia B Estanislao PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia B Estanislao PLLC was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.