Individual provider Active NPI

Christopher David Kagay, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1174907125
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
834958 Issued in NV
Practice address
11021 Mount Royal Ave
Las Vegas, NV 89144-4484
Phone
(913) 282-5436
NPI assigned
Jul 18, 2015
Last updated
Apr 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 834958 NV Primary

Addresses

Primary practice location

11021 Mount Royal Ave
Las Vegas, NV 89144-4484

Mailing address

11021 Mount Royal Ave
Las Vegas, NV 89144-4484
Phone (913) 282-5436

Other practice location 1

2021 S Jones Blvd
Las Vegas, NV 89146-3137
Phone (702) 202-0099

Other names 1

  • Chris Kagay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20200708002397 CA Practitioner - Nurse Practitioner 9335447069 Reassigns benefits to 1 organization
I20210118000020 NV Practitioner - Nurse Practitioner 9335447069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fibonacci Services LLCGroup PAC ID 2567794720, 2 clinicians

Practice addresses (Care Compare)

2920 N Green Valley Pkwy
Suite 812
Henderson, NV 89014-0409
Phone (702) 861-1875

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valentin Isacescu MD a Professional Corporation CurrentSince Jul 1, 2020 Accepting new patients
Fibonacci Services LLC Psychiatric/Mental Health CurrentSince Aug 7, 2021 Accepting new patients

Locations

2122 S El Camino Real
Ste 100
Oceanside, CA 92054
Phone (760) 681-5222

2920 N Green Valley Pkwy
Ste 812
Henderson, NV 89014
Phone (702) 861-1875

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1174907125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 MOUNT ROYAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444484",
            "telephone_number": "913-282-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 MOUNT ROYAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444484",
            "telephone_number": "913-282-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463137",
            "country_code": "US",
            "telephone_number": "702-202-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAGAY",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "834958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "KAGAY",
            "credential": "PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.