Katelyne May Atijera, APRN
Individual provider Active NPI Nurse Practitioner · Las Vegas, NV
NPI 1922571199 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1922571199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 817137 (NV)
- Practice address
- 6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615 - Phone
- (702) 803-5534
- Fax
- (702) 805-6089
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Naz Wahab MD PC
Practice addresses (Care Compare)
6070 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534
Hospital & facility affiliations
- Saguaro Home Health Care
- Mountainview Hospital
- Saint Rose Dominican Hospitals - San Martin Campus
- Saint Rose Dominican Hospitals - Siena Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.18 of 100
- Quality
- 57.84
- Improvement activities
- 40
- Cost
- 43.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20190325001333 | NV | Practitioner - Nurse Practitioner | 9436499746 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Physicians (Kumar) PLLC | Current |
Accepting new patients | |
| Naz Wahab MD PC | Current |
Accepting new patients |
Locations
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060
2851 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 309-4878
6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700
821 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 438-4003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 817137 | NV | Yes |
Addresses
Primary practice location
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Mailing address
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534
Other providers in Las Vegas, NV
- Ati Inc
- Ati Inc
- Ati Inc
- Nilda Alabro Atienza-Isman
- Danica San Agustin Atienza
- Kariz Atiq
- Stephanie Lynn Atiyeh
- Jackalyn Atkins Thornton
- Pamelia Atkins-Girouard
- Angela Yvette Atkins
All providers in Las Vegas, NV · 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 Mar 21, 2023. 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.