Individual provider Active NPI

Kristina Marie McGahan, RN

  • Women's Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1164289971
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
888067 Issued in NV
Practice address
5761 S Fort Apache Rd
Las Vegas, NV 89148-5506
Phone
(702) 341-6610
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN48115 NV
Ambulatory Women's Health Care Registered Nurse 163WW0101X 332147 AZ
Women's Health Nurse Practitioner 363LW0102X 888067 NV Primary

Addresses

Primary practice location

5761 S Fort Apache Rd
Las Vegas, NV 89148-5506

Mailing address

5761 S Fort Apache Rd
Las Vegas, NV 89148-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250528001468 NV Practitioner - Nurse Practitioner 1850810300 Reassigns benefits to 1 organization
I20260106003618 AZ Practitioner - Nurse Practitioner 1850810300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36375 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7334

542 W Chandler Blvd
Chandler, AZ 85225-7531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
332147AZMDAmbulatory Women's Health Care Registered Nurse
RN48115NVMDAmbulatory Women's Health Care Registered Nurse
888067NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince May 1, 2025 Accepting new patients
Hera Health Medical Group - Az PLLC CurrentSince Dec 1, 2025 Accepting new patients
Adashek and Wilkes LLP Past Accepting new patients

Locations

2222 E Highland Ave
Ste 210
Phoenix, AZ 85016
Phone (480) 661-1332

36375 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 987-5500

880 Seven Hills Dr
Ste 260
Henderson, NV 89052
Phone (702) 382-3200

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

9090 W Post Rd
#100
Las Vegas, NV 89148
Phone (702) 382-3200

1430 E Calvada Blvd
Ste 200
Pahrump, NV 89048
Phone (775) 257-7015

9780 S McCarran Blvd
Ste 1
Reno, NV 89523
Phone (775) 404-5000

Interoperability endpoints

  • Direct secure messaging: kristina.mcgahan.1@27017.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1164289971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506",
            "telephone_number": "702-341-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAHAN",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NV",
            "license": "RN48115",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AZ",
            "license": "332147",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "888067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.