GREGGY OLIVER KING
NPI 1417794280
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Greggy Oliver King's NPI number?

The NPI number for Greggy Oliver King is 1417794280. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Q: What is Greggy Oliver King's specialty?

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

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment

701 SHADOW LN STE 300, LAS VEGAS, NV 89106(702) 383-1919(702) 383-2283 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Greggy Oliver King NPPES

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

GREGGY OLIVER KING (NPI 1417794280) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (880158) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417794280

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGREGGY OLIVER KING

Location Address701 SHADOW LN STE 300Las Vegas, NV 89106-4133

Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2386 · (702) 383-2620

Phone(702) 383-1919

Fax(702) 383-2283

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 10, 2024

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1417794280 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 · 880158

701 SHADOW LN STE 300, Las Vegas, NV 89106

Open in Google Maps ↗

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

Greggy Oliver King 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 ID4183124423

PECOS Enrollment IDI20250821003998

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number290007

Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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 4

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

IAN ADRIAN FANOGA FRANI M.D.

Internal Medicine (Infectious Disease)

701 SHADOW LN STE 300
LAS VEGAS, NV 89106

Clark County (702) 383-1919

LUIS HUMBERTO MEDINA-GARCIA MD

Internal Medicine (Infectious Disease)

701 SHADOW LN STE 300
LAS VEGAS, NV 89106

Clark County (702) 383-1919

SHADABA ASAD MD

Internal Medicine (Infectious Disease)

701 SHADOW LN STE 300
LAS VEGAS, NV 89106

Clark County (702) 383-1919

DR. SHANNON L MCCARTHY D.O.

Internal Medicine (Infectious Disease)

701 SHADOW LN STE 300
LAS VEGAS, NV 89106

Clark County (702) 383-1919

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 Greggy Oliver King's NPI number?

The NPI number for Greggy Oliver King is 1417794280. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Greggy Oliver King located?

Greggy Oliver King practices at 701 Shadow Ln Ste 300, Las Vegas, NV 89106. The listed phone number is (702) 383-1919.

What is Greggy Oliver King's specialty?

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

Is Greggy Oliver King enrolled in Medicare?

Yes. Greggy Oliver King 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.

Is Greggy Oliver King affiliated with any hospitals?

According to CMS data, Greggy Oliver King is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Greggy Oliver King was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.