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REVOLUTION HEALTH LLC
NPI 1356015218
Nurse Practitioner - Family in Henderson, NV

Active since August 04, 2021
6301 MOUNTAIN VISTA ST STE 209, HENDERSON, NV 89014(702) 703-1202 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2022, Aug 5, 2021 (2 updates tracked since 2021).

About Revolution Health Llc NPPES

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

REVOLUTION HEALTH LLC (NPI 1356015218) is a healthcare organization registered as a family in Henderson, Nevada and active in the NPI registry since August 2021. The organization lists Katie Bass, Owner, as its authorized official.

NPPES Registry Identity

NPI1356015218
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVOLUTION HEALTH LLC
Location Address6301 MOUNTAIN VISTA ST STE 209Henderson, NV 89014-2364
Mailing Address6301 Mountain Vista St Ste 209Henderson, NV 89014-2364 · (702) 703-1202
Phone(702) 703-1202
Organization SubpartNo
Authorized OfficialKatie BassOwner · (702) 703-1202
Enumeration DateAugust 4, 2021
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1356015218 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
6301 MOUNTAIN VISTA ST STE 209, Henderson, NV 89014
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Other Identifiers 1

Medicaid250011291NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revolution Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Revolution Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Katie Bass, APRN
Nurse Practitioner
NPI 1619582459
6301 MOUNTAIN VISTA ST STE 209
Henderson, NV 89014
(702) 703-1202
✔ PECOS✔ Accepts MedicareSame address
Kassie Cartright, APRN
Nurse Practitioner
NPI 1184422081
2500 WIGWAM PKWY STE 111
Henderson, NV 89074
(702) 703-1202
✔ PECOS✔ Accepts Medicare3.0 mi
Sara Roberts
Nurse Practitioner
NPI 1346893633
6930 S CIMARRON RD # 220
Las Vegas, NV 89113
(702) 822-7400
✔ PECOS11 mi
Amy Hansen-Schwinghamer, NP
Nurse Practitioner
NPI 1467235127
229 COUNCIL FIRE CIR
Galena, IL 61036
(952) 594-5232
✔ PECOS✔ Accepts Medicare1,387 mi

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 Revolution Health LLC's NPI number?

The NPI number for Revolution Health LLC is 1356015218. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Revolution Health LLC located?

Revolution Health LLC is located at 6301 Mountain Vista St Ste 209, Henderson, NV 89014. The listed phone number is (702) 703-1202.

What is Revolution Health LLC's specialty?

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

Is Revolution Health LLC enrolled in Medicare?

Yes. Revolution Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revolution Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revolution Health 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revolution Health LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Revolution Health LLC 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 Revolution Health LLC was last updated on April 18, 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.