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

Mrs. Mara Leanna Kristina Alicdan Bishop, APRN

Individual provider Family Nurse Practitioner · NPI 1417721986

Mrs. Mara Leanna Kristina Alicdan Bishop, APRN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with University Medical Center of Southern Nevada, a 388-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2023
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone: (702) 383-3648
Fax: (702) 383-2627
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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 873782 (NV)
Registered Nurse Taxonomy 163W00000X · Licence RN80211 (NV)

Record details

NPI number1417721986
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedNovember 14, 2023
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Medical Center Of Southern Nevada — 388 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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