Individual provider Active NPI

Kurt Colter Sawyer, APRN

  • Family Nurse Practitioner
  • Mesquite, NV
National Provider Identifier
1447734751
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
814943 Issued in NV
Practice address
1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone
(702) 346-0800
NPI assigned
Sep 21, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 814943 NV Primary

Addresses

Primary practice location

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503

Mailing address

457 Parkview Dr
Mesquite, NV 89027-3113
Phone (435) 590-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20221222002343 WA Practitioner - Nurse Practitioner 7113266750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

167 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-6498

174 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3181

176 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814943NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District 3 of Pacific County CurrentSince Nov 21, 2022 Accepting new patients
Public Hospital District 3 of Pacific County CurrentSince Nov 21, 2022 Accepting new patients
Public Hospital District 3 of Pacific County Past Accepting new patients
Public Hospital District 3 of Pacific County Past Accepting new patients

Locations

1501 Bay Ave
Ste 201
Ocean Park, WA 98640
Phone (360) 642-3747

Interoperability endpoints

  • Direct secure messaging: ksawyer2594276@oc.providencedirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1447734751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 PARKVIEW DR",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273113",
            "telephone_number": "435-590-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "KURT",
        "middle_name": "COLTER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "814943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.