Individual provider Active NPI

Kassie Marie Cartright, APRN

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1184422081
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
885006 Issued in NV
Practice address
2500 Wigwam Pkwy Ste 111
Henderson, NV 89074-7113
Phone
(702) 703-1202
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 885006 NV Primary

Addresses

Primary practice location

2500 Wigwam Pkwy Ste 111
Henderson, NV 89074-7113

Mailing address

7225 Placid St
Las Vegas, NV 89119-4223
Phone (928) 706-7848

Other practice location 1

7225 Placid St
Las Vegas, NV 89119-4223
Phone (928) 706-7848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250416003727 NV Practitioner - Nurse Practitioner 9436674918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution Health LLCGroup PAC ID 7517350556, 2 clinicians

Practice addresses (Care Compare)

2500 Wigwam Pkwy
Suite 111
Henderson, NV 89074-7113
Phone (702) 703-1202

6301 Mountain Vista St
Suite 209
Henderson, NV 89014-2364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Health LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2500 Wigwam Pkwy
Ste 111
Henderson, NV 89074
Phone (702) 407-1561

6301 Mountain Vista St
Ste 209
Henderson, NV 89014
Phone (702) 703-1202

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1184422081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 PLACID ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194223",
            "telephone_number": "928-706-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WIGWAM PKWY STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747113",
            "telephone_number": "702-703-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7225 Placid St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194223",
            "country_code": "US",
            "telephone_number": "928-706-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTRIGHT",
        "first_name": "KASSIE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "885006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.