MS. DOREEN JOY KIBBY PA-C NPI 1306084348

NPI Information

  • NPI: 1306084348
  • Provider Name: MS. DOREEN JOY KIBBY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2865 SIENA HEIGHTS DR
    SUITE 331-A
    HENDERSON, NV
    ZIP 89052
  • Phone: (702) 407-0110

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NPI Details

MS. Doreen Joy Kibby, PA-C is a medical physician assistant in Henderson, NV with 18 years of experience. MS. Doreen Joy Kibby, PA-C NPI is 1306084348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2865 SIENA HEIGHTS DR
SUITE 331-A
HENDERSON, NV
ZIP 89052-167
Phone: (702) 407-0110

The NPI 1306084348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Programming of multiple lead pacemaker system (HCPCS:93281)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)

The enumeration date for this NPI number is 1/29/2009 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA1156NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750383360MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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