Look up the most recent NPI and PECOS records

Allan Michael C De Leon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870

PECOS Enrollment

This provider is enrolled in PECOS as ALLAN MICHAEL DE LEON.

Based on the most recent information from CMS, provider Allan Michael C De Leon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1073201257
Provider Type
Individual
Full Name
De Leon, Allan Michael C
Credential
NP

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/26/2023
Last Updated
4/26/2023

Contact Information

Practice Location

801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870

(702) 483-3630

Unlisted Fax

Mailing Location

6415 S Fort Apache Rd Ste 185 - 1212, Las Vegas, NV 89148

(702) 972-7061

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 812546 Nevada

Allan Michael C De Leon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Albano, Michelle

Reyes, Marilou

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Lero, Lili S

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Eyre Bohne, Aubrey

Go, Anansa Katrina

Strobehn, Patricia K