Active NPI
Kimberly Bacolor, APRN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1497532691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 870538
- Practice address
- 8291 Palladium St
Las Vegas, NV 89113-4133 - Phone
- (702) 521-7190
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1568659381
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Infectious Disease Specialists LLC
Practice addresses (Care Compare)
6867 W Charleston Blvd
Suite 100
Las Vegas, NV 89117-1669
Phone (702) 396-4165
Hospital & facility affiliations
- Valley Hospital Medical Center
- Spring Valley Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 40.01
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231116001546 | NV | Practitioner - Nurse Practitioner | 2466809264 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Specialists, LLC | Current | Accepting new patients | |
| Metabolic Restoration LLC | Current | Accepting new patients | |
| Get Well House Calls LLC | Current | Accepting new patients | |
| Valley Primary Care Center LLC | Past | Accepting new patients |
Locations
801 S Rancho Dr
Ste B1B
Las Vegas, NV 89106
Phone (702) 400-0517
6867 W Charleston Blvd
Ste 100
Las Vegas, NV 89117
Phone (702) 396-4165
8879 W Flamingo Rd
Ste 102
Las Vegas, NV 89147
Phone (702) 213-0007
6867 W Charleston Blvd
Ste B
Las Vegas, NV 89117
Phone (702) 266-6150
3160 S Valley View Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 693-4202
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 870538 | NV | Primary |
Addresses
Primary practice location
8291 Palladium St
Las Vegas, NV 89113-4133
Mailing address
8291 Palladium St
Las Vegas, NV 89113-4133
Phone (702) 521-7190
Other names 1
- Kimberly Bacolor Gonzales
NPI Registry JSON
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1497532691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8291 PALLADIUM ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891134133",
"telephone_number": "702-521-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 PALLADIUM ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891134133",
"telephone_number": "702-521-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACOLOR",
"first_name": "KIMBERLY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "870538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "GONZALES",
"middle_name": "BACOLOR",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.