KRISTENSEN FESTENESE MEDICAL GROUP LLC
NPI 1316033947
Clinic/Center - Primary Care in Las Vegas, NV

Active since October 04, 2006
8571 W LAKE MEAD BLVD, #120, LAS VEGAS, NV 89128(702) 360-5194 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristensen Festenese Medical Group Llc NPPES

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

KRISTENSEN FESTENESE MEDICAL GROUP LLC (NPI 1316033947) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since October 2006. The organization lists Michael Salvatore Festenese, Manager, as its authorized official.

NPPES Registry Identity

NPI1316033947
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKRISTENSEN FESTENESE MEDICAL GROUP LLC
Location Address8571 W LAKE MEAD BLVD, #120Las Vegas, NV 89128
Mailing Address8571 W Lake Mead Blvd, #120Las Vegas, NV 89128 · (702) 360-5194
Organization SubpartNo
Authorized OfficialMichael Salvatore FesteneseManager · (702) 360-5194
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316033947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NV · 1002760224
8571 W LAKE MEAD BLVD, Las Vegas, NV 89128

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristensen Festenese Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristensen Festenese Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1861499733
8571 W LAKE MEAD BLVD SUITE 120
Las Vegas, NV 89128
(702) 360-5194
✔ PECOS✔ Accepts MedicareSame address

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

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 Kristensen Festenese Medical Group LLC's NPI number?

The NPI number for Kristensen Festenese Medical Group LLC is 1316033947. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Kristensen Festenese Medical Group LLC located?

Kristensen Festenese Medical Group LLC is located at 8571 W Lake Mead Blvd #120, Las Vegas, NV 89128. The listed phone number is (702) 360-5194.

What is Kristensen Festenese Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Kristensen Festenese Medical Group LLC enrolled in Medicare?

Yes. Kristensen Festenese Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kristensen Festenese Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kristensen Festenese Medical Group LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kristensen Festenese Medical Group LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.