KORTNEY MORTIMER PA
NPI 1467638809
Physician Assistant in Las Vegas, NV

Active since January 16, 2008PECOS EnrolledAccepts Medicare Assignment
2316 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 877-8330(702) 877-8312 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kortney Mortimer Pa NPPES

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

KORTNEY MORTIMER PA (NPI 1467638809) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA1339) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1467638809
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKORTNEY MORTIMERCredential: PA
Location Address2316 W CHARLESTON BLVDLas Vegas, NV 89102-2149
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 877-8330 · Fax (702) 877-8312
Fax(702) 877-8312
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 16, 2008
Last NPPES UpdateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
NPI 1467638809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NV · PA1339
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA1339 (NV)
2316 W CHARLESTON BLVD, Las Vegas, NV 89102

Other Identifiers 1

Medicaid1467638809NV

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

Kortney Mortimer Pa 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 ID9234291808
PECOS Enrollment IDI20121004000708
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
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 7

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

Pharmacist
2316 W CHARLESTON BLVD, STE. 174
LAS VEGAS, NV 89102
Podiatrist (Foot & Ankle Surgery)
2316 W CHARLESTON BLVD, SUITE 120
LAS VEGAS, NV 89102
Podiatrist
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Family Medicine
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Practitioner (Family)
2316 W CHARLESTON BLVD, SUITE 259
LAS VEGAS, NV 89102
Internal Medicine (Gastroenterology)
2316 W CHARLESTON BLVD, SUITE 280
LAS VEGAS, NV 89102
Internal Medicine (Gastroenterology)
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102

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 Kortney Mortimer's NPI number?

The NPI number for Kortney Mortimer is 1467638809. It was assigned to this individual provider in the NPPES registry on January 16, 2008.

Where is Kortney Mortimer located?

Kortney Mortimer practices at 2316 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 877-8330.

What is Kortney Mortimer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kortney Mortimer enrolled in Medicare?

Yes. Kortney Mortimer 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 Kortney Mortimer was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.