Kristina Bordinhao, PA-C
Individual provider Active NPI Physician Assistant · Las Vegas, NV
NPI 1356050355 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1356050355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1196409 (NV)
- Practice address
- 7710 Coral Cactus CT
Las Vegas, NV 89139-0157 - Phone
- (702) 812-0580
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Irv Edwards MD PC
Practice addresses (Care Compare)
1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230519001068 | NV | Practitioner - Physician Assistant | 7012373947 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1196409 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Physician Assistant | Current |
Accepting new patients |
Locations
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
2581 Saint Rose Pkwy
Henderson, NV 89074
Phone (702) 780-2700
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1196409 | NV | Yes |
Addresses
Primary practice location
7710 Coral Cactus CT
Las Vegas, NV 89139-0157
Mailing address
7710 Coral Cactus CT
Las Vegas, NV 89139-0157
Phone (702) 812-0580
Other providers in Las Vegas, NV
- Arthur Borden
- Becky Borden
- Ben Borden
- Britney Bordenave
- Rachel Borders
- William Lee Boren
- Kaiya Borenstein
- Claudia Lorena Borges Machin
- Sandra Luisa Borges Paez
- Goretty Borges
All providers in Las Vegas, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.