Individual provider Active NPI

Abigail Kris Karl

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1609692995
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
820491 Issued in NV
Practice address
5216 Boulder Hwy Ste 105
Las Vegas, NV 89122-6075
Phone
(702) 547-6764
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 820491 NV Primary

Addresses

Primary practice location

5216 Boulder Hwy Ste 105
Las Vegas, NV 89122-6075

Mailing address

3909 Helens Pouroff Ave
North Las Vegas, NV 89085-4475
Phone (312) 888-1716

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
I20241226002071 NV Practitioner - Nurse Practitioner 9436686771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carefirst Urgent Care LLCGroup PAC ID 3779901939, 20 clinicians

Practice addresses (Care Compare)

5216 Boulder Hwy
Suite 105
Las Vegas, NV 89122-6075
Phone (513) 846-6778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
820491NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic 21 of Nevada Zyniewicz PLLC CurrentSince Dec 8, 2024 Accepting new patients
Carefirst Urgent Care, LLC CurrentSince Dec 11, 2024 Accepting new patients
CG Medical Associates Inc Past Accepting new patients

Locations

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1609692995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 HELENS POUROFF AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890854475",
            "telephone_number": "312-888-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 BOULDER HWY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226075",
            "telephone_number": "702-547-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARL",
        "first_name": "ABIGAIL",
        "middle_name": "KRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "820491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.