KAYLA LYN SULLIVAN
NPI 1578306239
Nurse Practitioner in Las Vegas, NV

Q: What is Kayla Sullivan's NPI number?

The NPI number for Kayla Sullivan is 1578306239. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Q: What is Kayla Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Sullivan was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 18, 2024PECOS Enrolled

517 ROSE ST, LAS VEGAS, NV 89106(702) 438-4692(702) 485-2372 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jun 18, 2024 (2 updates tracked since 2024).

On this page

About Kayla Lyn Sullivan NPPES

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

KAYLA LYN SULLIVAN (NPI 1578306239) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (879944) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1578306239

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAYLA LYN SULLIVAN

Location Address517 ROSE STLas Vegas, NV 89106-4020

Mailing Address8906 Spanish Ridge Ave Ste 202Las Vegas, NV 89148-1319 · (702) 330-3102 · Fax (702) 912-4994

Phone(702) 438-4692

Fax(702) 485-2372

Sole ProprietorNo

Enumeration DateJune 18, 2024

Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1578306239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 879944

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

517 ROSE ST, Las Vegas, NV 89106

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Secondary Practice Location 1

Location 12380 N Buffalo Dr Ste 155Las Vegas, NV 89128-4808 · Phone (702) 695-8611

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Lyn Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 20

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

KATHERINE MARIE BREWSTER HOYT-CRAFT APRN-CNM

Advanced Practice Midwife