KASSANDRA COLLETTA
NPI 1083102131
Obstetrics & Gynecology in Las Vegas, NV

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
3196 S MARYLAND PKWY STE 303, LAS VEGAS, NV 89109(702) 944-2888(702) 944-2890 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2022, Apr 24, 2018 (2 updates tracked since 2018).

About Kassandra Colletta NPPES

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

KASSANDRA COLLETTA (NPI 1083102131) is an individual obstetrics & gynecology provider in Las Vegas, Nevada, licensed in Nevada (22581) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of University Of Nevada School Of Medicine (2018).

NPPES Registry Identity

NPI1083102131
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKASSANDRA COLLETTA
Location Address3196 S MARYLAND PKWY STE 303Las Vegas, NV 89109-2314
Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (702) 405-6503
Fax(702) 944-2890
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2018
Enumeration DateApril 24, 2018
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
NPI 1083102131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NV · 22581
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3196 S MARYLAND PKWY STE 303, Las Vegas, NV 89109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kassandra Colletta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002165941
PECOS Enrollment IDI20221116000475
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
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.

Nurse Practitioner
3196 S MARYLAND PKWY STE 303
LAS VEGAS, NV 89109
Obstetrics & Gynecology
3196 S MARYLAND PKWY STE 303
LAS VEGAS, NV 89109

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 Kassandra Colletta's NPI number?

The NPI number for Kassandra Colletta is 1083102131. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Kassandra Colletta located?

Kassandra Colletta practices at 3196 S Maryland Pkwy Ste 303, Las Vegas, NV 89109. The listed phone number is (702) 944-2888.

What is Kassandra Colletta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kassandra Colletta enrolled in Medicare?

Yes. Kassandra Colletta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kassandra Colletta affiliated with any hospitals?

According to CMS data, Kassandra Colletta is affiliated with Sunrise Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kassandra Colletta was last updated on December 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.