KINTANA TORRES WIXOM APRN
NPI 1174269898
Nurse Practitioner - Family in Las Vegas, NV

Active since May 05, 2022PECOS EnrolledAccepts Medicare Assignment
3835 S JONES BLVD, LAS VEGAS, NV 89103(702) 880-4193 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2022, May 5, 2022 (2 updates tracked since 2022).

About Kintana Torres Wixom Aprn NPPES

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

KINTANA TORRES WIXOM APRN (NPI 1174269898) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (854431) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174269898
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKINTANA TORRES WIXOMCredential: APRN
Location Address3835 S JONES BLVDLas Vegas, NV 89103-7125
Mailing Address3835 S Jones BlvdLas Vegas, NV 89103-7125 · (021) 880-4193
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 5, 2022
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1174269898 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 · 854431
3835 S JONES BLVD, Las Vegas, NV 89103

Other Names 1

Former Name (1)Kintana Belila Torres

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kintana Torres Wixom Aprn 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 ID648659573
PECOS Enrollment IDI20220622003258
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

3

Medicare enrollment records show Kintana Wixom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
3835 S JONES BLVD STE 104
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 28 clinicians in this Medicare group
Urgent Care
10652 S EASTERN AVE, SUITE A
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 107 clinicians in this Medicare group
Cardiovascular Disease
5653 S HIGHWAY 95, STE A
Fort Mohave, AZ 86426
  • Reassigned Medicare billing, Nevada enrollment
  • 11 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 89103 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 15

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

Nurse Practitioner (Family)
3835 S JONES BLVD
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
3835 S JONES BLVD
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
3835 S JONES BLVD
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
3835 S JONES BLVD
LAS VEGAS, NV 89103
Chiropractor
3835 S JONES BLVD
LAS VEGAS, NV 89103
Nurse Anesthetist, Certified Registered
3835 S JONES BLVD
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
3835 S JONES BLVD
LAS VEGAS, NV 89103
Nurse Anesthetist, Certified Registered
3835 S JONES BLVD, SUITE 104
LAS VEGAS, NV 89103

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 Kintana Wixom's NPI number?

The NPI number for Kintana Wixom is 1174269898. It was assigned to this individual provider in the NPPES registry on May 5, 2022. The provider is also known as Kintana Belila Torres.

Where is Kintana Wixom located?

Kintana Wixom practices at 3835 S Jones Blvd, Las Vegas, NV 89103. The listed phone number is (702) 880-4193.

What is Kintana Wixom's specialty?

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

Is Kintana Wixom enrolled in Medicare?

Yes. Kintana Wixom 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.

Which organizations bill Medicare for Kintana Wixom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kintana Wixom reassigns Medicare benefits to 3 organizations: Las Vegas Pain Institute And Medical Center, LLC (Las Vegas, NV), Urgent Care Nevada, LLC (Henderson, NV) and Vista Health Mirza MD PC (Fort Mohave, AZ). Each 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 Kintana Wixom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kintana Wixom accept?

Health plans from Molina Healthcare list Kintana Wixom 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 Kintana Wixom was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.