Individual provider Active NPI

Kristoffer Iven Bernardo Inguito, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1396516787
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
874653 Issued in NV
Practice address
3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone
(702) 880-4193
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 874653 NV Primary

Addresses

Primary practice location

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283

Mailing address

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone (702) 880-4193

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
I20240322003987 NV Practitioner - Nurse Practitioner 2264879444 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Nevada Post-Acute Medical Services-Scherr 1 P.CGroup PAC ID 7012292634, 18 clinicians
CS Pacs 3 West LLCGroup PAC ID 8921546797, 12 clinicians

Practice addresses (Care Compare)

3215 E Cheyenne Ave
North Las Vegas, NV 89030-4235
Phone (702) 649-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
874653NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Jan 2, 2025 Accepting new patients
CS Pacs 3 West LLC CurrentSince Jan 2, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 2, 2025 Accepting new patients
Las Vegas Pain Institute and Medical Center, LLC CurrentSince Mar 18, 2024 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Kuhl Consulting LV Past Accepting new patients

Locations

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103

4616 W Sahara Ave
#337
Las Vegas, NV 89102

6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555

8828 Mohawk St
Las Vegas, NV 89139

3215 E Cheyenne Ave
North Las Vegas, NV 89030
Phone (702) 467-0707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

Organizations & group practices 6

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1396516787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-880-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGUITO",
        "first_name": "KRISTOFFER IVEN",
        "middle_name": "BERNARDO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "874653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.