STANLEY KIDIAVAYI APRN NPI 1902290968

NPI Information

  • NPI: 1902290968
  • Provider Name: STANLEY KIDIAVAYI, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 801 S RANCHO DR STE B1B
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (702) 490-2398

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NPI Details

Stanley Kidiavayi, APRN is a family nurse practitioner in Las Vegas, NV with 11 years of experience. Stanley Kidiavayi, APRN NPI is 1902290968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

801 S RANCHO DR STE B1B
LAS VEGAS, NV
ZIP 89106-871
Phone: (702) 490-2398
Fax: (702) 912-2273

The NPI 1902290968 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.

  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
  • New patient home visit, typically 1 hour (HCPCS:99344)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)

The enumeration date for this NPI number is 3/26/2015 and was last updated on 1/26/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN002072NEVADANo
2363LF0000XNurse PractitionerFamilyAPRN002072NEVADAYes

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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