KIMBERLY SUE EBRAHIMI APRN
NPI 1154016996
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Kimberly Ebrahimi's NPI number?

The NPI number for Kimberly Ebrahimi is 1154016996. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Q: What is Kimberly Ebrahimi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ebrahimi was last updated on April 7, 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.

Active since April 07, 2023PECOS Enrolled

2801 N TENAYA WAY STE C, LAS VEGAS, NV 89128(702) 684-7800 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kimberly Sue Ebrahimi Aprn NPPES

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

KIMBERLY SUE EBRAHIMI APRN (NPI 1154016996) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (864647) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154016996

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY SUE EBRAHIMICredential: APRN

Location Address2801 N TENAYA WAY STE CLas Vegas, NV 89128-1400

Mailing Address2801 N Tenaya Way Ste CLas Vegas, NV 89128-1400 · (702) 684-7800

Phone(702) 684-7800

Sole ProprietorNo

Enumeration DateApril 7, 2023

NPPES CertifiedApril 7, 2023

✔ NPI 1154016996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 864647

2801 N TENAYA WAY STE C, Las Vegas, NV 89128

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Secondary Practice Locations 2

Location 16120 S Fort Apache RdLas Vegas, NV 89148-6759 · Phone (702) 602-5444

Location 21371 W Warm Springs Rd Ste 120Henderson, NV 89014-8068 · Phone (702) 998-5549

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Sue Ebrahimi Aprn 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 Reassignments

Medicare enrollment records show Kimberly Ebrahimi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Doctors Center At Red Rock Capobianco PLLC

Same address

Addiction Medicine

2801 N TENAYA WAY STE C
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
26 clinicians in this Medicare group

NPI 1942688932 (702) 684-7800

Shamloo Blue Sky Treatment Center PLLC

0.4 mi

Medical Oncology

3150 N TENAYA WAY, SUITE 510
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
11 clinicians in this Medicare group

NPI 1487081048 (702) 453-3799

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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 8

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

LINDA ELIZABETH REINA APRN

Nurse Practitioner (Family)