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DOUGLAS JASON LIEBERMAN
NPI 1942780382
Nurse Practitioner in Las Vegas, NV

Active since August 15, 2018PECOS Enrolled
5523 S EASTERN AVE, LAS VEGAS, NV 89119(702) 463-4050(702) 463-7881 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2019, Aug 15, 2018 (2 updates tracked since 2018).

About Douglas Jason Lieberman NPPES

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

DOUGLAS JASON LIEBERMAN (NPI 1942780382) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (812736) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bristol, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942780382
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDOUGLAS JASON LIEBERMAN
Location Address5523 S EASTERN AVELas Vegas, NV 89119-2312
Mailing Address2260 Early Frost AveHenderson, NV 89052-2623 · (702) 577-8176
Phone(702) 463-4050
Fax(702) 463-7881
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 15, 2018
Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration
✔ NPI 1942780382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NV · 812736✔ Licensed in ID · 57640✔ Licensed in CT · 008028
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5523 S EASTERN AVE, Las Vegas, NV 89119
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Secondary Practice Location 1

Location 161 Bellevue AveBristol, CT 06010-5815 · Phone (860) 589-1682

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Jason Lieberman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537412119
PECOS Enrollment IDI20190523001660
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
123 services43 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
63 services28 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
33 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
24 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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 3

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

CHRISTIAN HOSPICE, LLC
Hospice Care, Community Based
5523 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 331-3911
MRS. CINDY UGOCHI UDOM PA
Physician Assistant
5523 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 463-4050
FRANK PAUL D.O. PLLC
Emergency Medicine (Hospice and Palliative Medicine)
5523 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 463-4050

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 Douglas Lieberman's NPI number?

The NPI number for Douglas Lieberman is 1942780382. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Douglas Lieberman located?

Douglas Lieberman practices at 5523 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 463-4050.

What is Douglas Lieberman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Douglas Lieberman enrolled in Medicare?

Yes. Douglas Lieberman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Lieberman was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.