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

Stacy Leifried, APRN

Individual provider Registered Nurse · NPI 1265490585

Stacy Leifried, APRN is a Nurse Practitioner in Henderson, Nevada. Qualified in 1997, 29 years ago. Practices with Bacchus Wakefield Kahan PC, a 21-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
29
Licensed in
NV
In the registry since
2006
Specialties on file
3
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

100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704
Phone: (702) 844-4841
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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 APRN00419 (NV)
Registered Nurse Taxonomy 163W00000X · Licence RN17354 (NV)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN00419 (NV)

Record details

NPI number1265490585
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address2370 Corporate Cir Ste 300, Henderson, NV 89074-7760

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Bacchus Wakefield Kahan Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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