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

Stacey Louise Siese, NP

Individual provider Nurse Practitioner · NPI 1669092367

Stacey Louise Siese, NP is a Nurse Practitioner in N las Vegas, Nevada. Qualified in 2019, 7 years ago. Practices with Suresh G Prabhu MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

845 W Craig Rd Ste 104
N las Vegas, NV 89032-0282
Phone: (702) 740-0648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 828101 (NV)

Record details

NPI number1669092367
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Suresh G Prabhu Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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