Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Niwa Ymballa, FNP

Individual provider Family Nurse Practitioner · NPI 1013395912

Lisa Niwa Ymballa, FNP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices with Mc Medical Group of Nevada, PC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

8116 Las Vegas Blvd S
Las Vegas, NV 89123-1015
Phone: (702) 407-7063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN001907 (NV)

Record details

NPI number1013395912
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mc Medical Group Of Nevada, P.C — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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