Lln02 LLC - Medicare Primary Care in Henderson, NV

Lln02 LLC is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Henderson, Nevada. The current practice location for Lln02 LLC is 129 W Lake Mead Pkwy Ste 8, Henderson, Nevada. For appointments, you can reach them via phone at (702) 285-8311. The mailing address for Lln02 LLC is 1906 Thunder Ridge Cir, Henderson, Nevada and phone number is (405) 881-6822.

Lln02 LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1508573676. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (702) 285-8311.

Contact Information

Lln02 LLC
129 W Lake Mead Pkwy Ste 8
Henderson
NV 89015-7055
(702) 285-8311
(877) 409-1697

Map and Direction


Primary Care Clinic Profile

Full NameLln02 LLC
SpecialityClinic/Center
Location129 W Lake Mead Pkwy Ste 8, Henderson, Nevada
Authorized Official Name and PositionLena L Nguyen (CEO)
Authorized Official Contact7252648686
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lln02 LLC
1906 Thunder Ridge Cir
Henderson
NV 89012-2206

Ph: (405) 881-6822
Lln02 LLC
129 W Lake Mead Pkwy Ste 8
Henderson
NV 89015-7055

Ph: (702) 285-8311

NPI Details:

NPI Number1508573676
Provider Enumeration Date10/28/2022
Last Update Date05/11/2026
Certification Date05/11/2026

Medicare PECOS Information:

Medicare PECOS PAC ID5395101604
Medicare Enrollment IDO20230511001682

Medical Identifiers

Medical identifiers for Lln02 LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508573676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty ()Primary
363LF0000XNurse Practitioner - Family ()Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lln02 LLC acts as a billing entity for following providers:
Provider NameMarguarette J Suprien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881051415
PECOS PAC ID: 4082913751
Enrollment ID: I20160502000505
Provider NameManal Jourdan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942766001
PECOS PAC ID: 8921341629
Enrollment ID: I20190521001958
Provider NameAnna Marie Grace Maniebo Ramos-kastner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801485347
PECOS PAC ID: 6002215043
Enrollment ID: I20210525002014
Provider NameSamantha Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154912301
PECOS PAC ID: 1759781487
Enrollment ID: I20210616002959
Provider NameLena Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205470911
PECOS PAC ID: 6305269390
Enrollment ID: I20211005001591
Provider NameAmber Ashley Sweat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851033849
PECOS PAC ID: 3375992548
Enrollment ID: I20231213001557
Provider NameJosil George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629829643
PECOS PAC ID: 4284074741
Enrollment ID: I20240501000148
Provider NameJennifer Lynn Vroman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245095314
PECOS PAC ID: 6709328321
Enrollment ID: I20240610003822
Provider NameMarvina Truss
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1700159431
PECOS PAC ID: 7012453491
Enrollment ID: I20240722002312
Provider NameAkisha Toussaint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760026736
PECOS PAC ID: 8123550720
Enrollment ID: I20241021004118
Provider NameCiara Lynn Richman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184458358
PECOS PAC ID: 9638608169
Enrollment ID: I20250128003507
Provider NameJames Vir Abrenica Sales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861208035
PECOS PAC ID: 2062942774
Enrollment ID: I20250211002164
Provider NameLeila Romero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457249815
PECOS PAC ID: 2769998723
Enrollment ID: I20250717004437
Provider NameKurt Vernon Naguiat Beaty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396605333
PECOS PAC ID: 5294229811
Enrollment ID: I20251211000726

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.