KEELY BROOKE RATAJCZYK FNP-BC, FNP-C
NPI 1356100721
Nurse Practitioner - Family in Henderson, NV
About Keely Brooke Ratajczyk Fnp-bc, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEELY BROOKE RATAJCZYK FNP-BC, FNP-C (NPI 1356100721) is an individual family provider in Henderson, Nevada, licensed in Nevada (876653) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Keely Brooke Ratajczyk Fnp-bc, Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NV 89044
HENDERSON, NV 89044
LAS VEGAS, NV 89044
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 Keely Ratajczyk's NPI number?
The NPI number for Keely Ratajczyk is 1356100721. It was assigned to this individual provider in the NPPES registry on March 18, 2024. The provider is also known as Keely Brooke Wilbourn.
Where is Keely Ratajczyk located?
Keely Ratajczyk practices at 12300 Las Vegas Blvd S, Henderson, NV 89044. The listed phone number is (702) 837-1265.
What is Keely Ratajczyk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keely Ratajczyk enrolled in Medicare?
Yes. Keely Ratajczyk 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.
When was this NPI record last updated?
The NPPES record for Keely Ratajczyk was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Keely Brooke Ratajczyk, FNP-BC, FNP-C · NPI 1356100721
Family physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1356100721 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 876653 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 12300 LAS VEGAS BLVD S, Henderson, NV 89044-9506
- **Phone:** (702) 837-1265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356100721) · Data from the CMS NPPES public registry.