HALEY K SOUTHWICK
NPI 1598402760
Nurse Practitioner - Primary Care in Las Vegas, NV
About Haley K Southwick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEY K SOUTHWICK (NPI 1598402760) is an individual primary care provider in Las Vegas, Nevada, licensed in Nevada (871230) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Dentistry (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Haley K Southwick 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.
Medicare Billing Reassignment
Medicare enrollment records show Haley Southwick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89145
- Reassigned Medicare billing, Nevada enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89145 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89145
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 Haley Southwick's NPI number?
The NPI number for Haley Southwick is 1598402760. It was assigned to this individual provider in the NPPES registry on May 18, 2022.
Where is Haley Southwick located?
Haley Southwick practices at 10040 Alta Dr Ste 100B, Las Vegas, NV 89145. The listed phone number is (702) 960-1561.
What is Haley Southwick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Haley Southwick enrolled in Medicare?
Yes. Haley Southwick 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.
Which organization bills Medicare for Haley Southwick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Southwick reassigns Medicare benefits to Khakwani Medical Corporation, PC (Las Vegas, NV). The 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 Haley Southwick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Haley Southwick was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Haley K Southwick · NPI 1598402760
Primary Care physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since May 18, 2022.
## Identity
- **NPI:** 1598402760 (Entity type: Individual)
- **Enumerated:** May 18, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 871230 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10040 ALTA DR STE 100B, Las Vegas, NV 89145-8630
- **Phone:** (702) 960-1561
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Khakwani Medical Corporation, PC (NPI 1134847965, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Dentistry, class of 2023
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1598402760) · Data from the CMS NPPES public registry.