Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH LEE CRAFT JR. FNP
NPI 1245575315
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Kenneth Craft's NPI number?

The NPI number for Kenneth Craft is 1245575315. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Q: What is Kenneth Craft's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Craft was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 November 30, 2012PECOS Enrolled

2780 S JONES BLVD STE 221, LAS VEGAS, NV 89146(775) 400-6617(775) 418-6100 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Jun 26, 2024, Mar 8, 2023 and 2 more (5 updates tracked since 2022).

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About Kenneth Lee Craft Jr. Fnp NPPES

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

KENNETH LEE CRAFT JR. FNP (NPI 1245575315) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in California (22618) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fair Oaks, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245575315

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKENNETH LEE CRAFT JR.Credential: FNP

Location Address2780 S JONES BLVD STE 221Las Vegas, NV 89146-5628

Mailing Address3983 S Mccarran Blvd # 703Reno, NV 89502-7510 · (775) 400-6617 · Fax (775) 418-6100

Phone(775) 400-6617

Fax(775) 418-6100

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 30, 2012

Last NPPES UpdateOctober 20, 20265 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1245575315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 22618

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 001840 (NV)

2780 S JONES BLVD STE 221, Las Vegas, NV 89146

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Secondary Practice Location 1

Location 16716 Madison Ave Ste A1Fair Oaks, CA 95628-3159 · Phone (775) 400-6617 · Fax (775) 418-6100

Other Identifiers 1

Medicaid100539957NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

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

Kenneth Lee Craft Jr. Fnp 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 ID6002059227

PECOS Enrollment IDI20150204000931

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 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.

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