Leora Beth Sapir , NP
Nurse Practitioner • Reno, NV
5590 Kietzke Ln
Reno, NV 895113019
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 5, 2007; this date does not establish years in practice.
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Published CMS data list 25 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Estradiol — 13 prescription fills, including refills.
- Nabumetone — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: 299. Middle half: 152 to 678.
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: 388. Middle half: 87 to 1,542.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 433 in 2019 to 25 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019–2024.
Practice Location & Contact Primary Location
5590 Kietzke Ln
Reno, NV 895113019
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
47 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$806 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $55.16 across 2 records.
By nature of payment
- Food and Beverage: $55.16 across 2 records.
Reporting-company totals
- Medtronic, Inc.: $30.59 across 1 record.
- VERTEX PHARMACEUTICALS INCORPORATED: $24.57 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Reno and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: 299. Middle half: 152 to 678.
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: 388. Middle half: 87 to 1,542.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: $8,756. Middle half: $1,331 to $117,627.
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: $17,099. Middle half: $1,291 to $124,956.
130 active clinicians are listed under Nurse Practitioner with a practice address in Reno, NV (907 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Reno
6.9% of these 130 clinicians have the CMS telehealth indicator.
46.2% of these 130 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 94% from 433 in 2019 to 25 in 2024.
- 2019: 433
- 2020: 863
- 2021: 1,235
- 2022: 784
- 2024: 25
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30-day fills
30-day fills decreased 95% from 884 in 2019 to 47 in 2024.
- 2019: 884
- 2020: 1,754
- 2021: 2,370
- 2022: 1,618
- 2024: 47
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Part D drug cost
Part D drug cost decreased 92% from $9,524 in 2019 to $806 in 2024.
- 2019: $9,524
- 2020: $18,896
- 2021: $34,752
- 2022: $21,204
- 2024: $806
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $38.21 in 2022 to $55.16 in 2025.
- 2022: $38.21
- 2025: $55.16
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $55.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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VENASEAL | General | $30.59 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $24.57 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Estradiol | Estradiol | 13 | 1,041 | $666.74 | — |
| Nabumetone | Nabumetone | 12 | 360 | $138.85 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LA2200X
NUCC Taxonomy Code: 363LW0102X
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Nurse
Nurse Practitioner - Gerontology
Advanced Practice Registered Nurse
Nurse Practitioner
Advanced Practice Registered Nurse
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated June 05, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Reno
- Jennifer Bickford, APRN
- Lindsay Gray, APRN
- Marissa Squire, APRN
- Rhonda Strunk, APN-C
- Casey Dye, APN
- Zachary Shell, APRN
Mailing Address
5590 Kietzke Ln
Reno, NV 895113019
Phone: 7753232080