NPIMap

Individual provider Active NPI

Kristina P Shurtleff, M.D.

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1811916216
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9559 Issued in NV
Practice address
38 S Water St Ste 200
Henderson, NV 89015-7223
Phone
(702) 545-0808
Fax
(702) 998-4220
NPI assigned
Jul 18, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9559 NV Primary

Addresses

Primary practice location

38 S Water St Ste 200
Henderson, NV 89015-7223

Mailing address

35 E Horizon Ridge Pkwy Ste 110
Henderson, NV 89002-7906
Phone (702) 545-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000966 NV Practitioner - Family Practice 0749305639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

38 Water St
Suite 200
Henderson, NV 89015-7223
Phone (702) 545-0808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9559NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristina Shurtleff MD PC Family Medicine CurrentSince Jan 4, 2010 Accepting new patients
A L Pollard Rainbow Hospitalists Family Medicine Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Anthony L Pollard DO a Professional Corporation Family Medicine Past Accepting new patients
Southwest Medical Associates, Inc PastSince Mar 21, 2005 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

35 E Horizon Rig
Ste 110
Henderson, NV 89002
Phone (702) 518-3249

38 S Water St
Ste 200
Henderson, NV 89015
Phone (702) 545-0808

Interoperability endpoints

  • Direct secure messaging: shurtlefffamilypractice.kristinapshurtleff@141419.advancedmd-direct.com

Organizations & group practices 8

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 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1811916216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027906",
            "telephone_number": "702-545-0808",
            "fax_number": "702-998-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S WATER ST STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157223",
            "telephone_number": "702-545-0808",
            "fax_number": "702-998-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURTLEFF",
        "first_name": "KRISTINA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.