KITZY LILLIE WINN
NPI 1033879499
Nurse Practitioner - Pediatrics in Las Vegas, NV

Active since December 28, 2021PECOS Enrolled
1707 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89102(702) 650-2500 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2023, May 18, 2022, Dec 28, 2021 (3 updates tracked since 2021).

About Kitzy Lillie Winn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KITZY LILLIE WINN (NPI 1033879499) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (840994) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1033879499
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKITZY LILLIE WINN
Location Address1707 W CHARLESTON BLVD STE 110Las Vegas, NV 89102-2352
Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (702) 650-2500
Sole ProprietorNo
Enumeration DateDecember 28, 2021
Last NPPES UpdateJune 19, 20233 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1033879499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NV · 840994
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.0027756 (OH)
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License APRN.CNP.0027756 (OH), SP025082 (PA)
1707 W CHARLESTON BLVD STE 110, Las Vegas, NV 89102

Secondary Practice Locations 7

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050
Location 23301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395
Location 3662 N Main StSpringboro, OH 45066-9553 · Phone (937) 641-5066 · Fax (937) 550-9797
Location 47787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192
Location 58809 Wilkens BlvdMason, OH 45040-7390 · Phone (513) 701-6907 · Fax (513) 204-0292
Location 61 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3600 · Fax (937) 641-5802
Location 78501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791

Other Identifiers 1

Medicaid0481203OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kitzy Lillie Winn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kitzy Winn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3016 W CHARLESTON BLVD STE 100
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 286 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Pediatric Surgery)
1707 W CHARLESTON BLVD STE 110
LAS VEGAS, NV 89102
Surgery (Pediatric Surgery)
1707 W CHARLESTON BLVD STE 110
LAS VEGAS, NV 89102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kitzy Winn's NPI number?

The NPI number for Kitzy Winn is 1033879499. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Kitzy Winn located?

Kitzy Winn practices at 1707 W Charleston Blvd Ste 110, Las Vegas, NV 89102. The listed phone number is (702) 650-2500.

What is Kitzy Winn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kitzy Winn enrolled in Medicare?

Yes. Kitzy Winn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kitzy Winn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kitzy Winn reassigns Medicare benefits to Unlv Medicine (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kitzy Winn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kitzy Winn accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Kitzy Winn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kitzy Winn was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.