Individual provider Active NPI

Jingle C Kavinta, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1881200160
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
832272 Issued in NV
Practice address
2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841
Phone
(702) 824-9625
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 832272 NV Primary
Primary Care Nurse Practitioner 363LP2300X 832272 NV

Addresses

Primary practice location

2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841

Mailing address

2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841
Phone (702) 824-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201023002380 NV Practitioner - Nurse Practitioner 0749566826 Reassigns benefits to 1 organization
I20260325004092 TX Practitioner - Nurse Practitioner 0749566826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jingle Ching Kavinta PLLCGroup PAC ID 9931529310, 5 clinicians

Practice addresses (Care Compare)

Houston, TX 77065
Phone (702) 600-3721

2831 Saint Rose Pkwy
Suite 200
Henderson, NV 89052-4841
Phone (702) 824-3277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.59 of 100Reported as individual
Quality
78.76
Improvement activities
40
Cost
23.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
832272NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jingle Ching Kavinta PLLC Family CurrentSince Aug 25, 2020 Accepting new patients

Locations

2831 Saint Rose Pkwy
Ste 200
Henderson, NV 89052
Phone (702) 355-9024

2625 S Rainbow Blvd
Ste C102
Las Vegas, NV 89146
Phone (702) 387-4577

12650 Crossroads Park Dr
Ste 100
Houston, TX 77065
Phone (281) 509-4705

Organizations & group practices 1

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1881200160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524841",
            "telephone_number": "702-824-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524841",
            "telephone_number": "702-824-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVINTA",
        "first_name": "JINGLE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832272",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "832272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.