Kurt Colter Sawyer, APRN
Individual provider Active NPI Family Nurse Practitioner · Mesquite, NV
NPI 1447734751 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1447734751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 814943 (NV)
- Practice address
- 1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503 - Phone
- (702) 346-0800
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District 3 of Pacific County
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
- Harbors Home Health / Hospice
- Ocean Beach Hospital
- Columbia Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20221222002343 | WA | Practitioner - Nurse Practitioner | 7113266750 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814943 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District 3 of Pacific County | Current |
Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current |
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
- ksawyer2594276@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 814943 | NV | Yes |
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
Other providers in Mesquite, NV
- Jacy Sally P Santos
- Jamie Santos
- Joey Santos
- Christian Saria
- Joseph M Satterfield
- Maria Francis Schnitzer
- Josephine Anne Sciacca
- Frank Joseph Seck
- Tatiana Sellner
- Youri Alexander Sellner
All providers in Mesquite, NV · Family Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2018. 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.