MR. KEVIN ROA PMHNP
NPI 1609597392
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Kevin Roa's NPI number?

The NPI number for Kevin Roa is 1609597392. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Q: What is Kevin Roa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Roa was last updated on June 7, 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.

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment

620 S TONOPAH DR, LAS VEGAS, NV 89106(702) 413-1391(702) 413-1392 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2023, Oct 21, 2022, Sep 9, 2022 (3 updates tracked since 2022).

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About Mr. Kevin Roa Pmhnp NPPES

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

MR. KEVIN ROA PMHNP (NPI 1609597392) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (857971) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609597392

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. KEVIN ROACredential: PMHNP

Location Address620 S TONOPAH DRLas Vegas, NV 89106-4029

Mailing Address2775 S Jones Blvd Ste 101Las Vegas, NV 89146-5632 · (702) 685-3300

Phone(702) 413-1391

Fax(702) 413-1392

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 9, 2022

Last NPPES UpdateJune 7, 20233 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1609597392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 857971

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 857971 (NV)

620 S TONOPAH DR, Las Vegas, NV 89106

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Secondary Practice Location 1

Location 12775 S Jones Blvd Ste 101Las Vegas, NV 89146-5632 · Phone (702) 685-3300

Other Identifiers 1

Medicaid1760195796NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Mr. Kevin Roa Pmhnp 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 ID5991174179

PECOS Enrollment IDI20221209001603

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Roa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luis Carlos O Ortega

Same address

Geriatric Psychiatry

620 S TONOPAH DR
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
5 clinicians in this Medicare group

NPI 1760195796 (702) 413-1391

University Medical Center Of Southern Nevada

0.4 mi

General Acute Care Hospital

1800 W. CHARLESTON BLVD.
Las Vegas, NV 89102

Reassigned Medicare billing, Nevada enrollment
522 clinicians in this Medicare group

NPI 1548393127 (702) 383-2000

Eugene Rosenman, MD Ltd

3.5 mi

Psychiatry

2740 S JONES BLVD
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
21 clinicians in this Medicare group

NPI 1265568703 (702) 248-8866

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

62 services38 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

44 services31 patients

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.

29 services18 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

11 services11 patients

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 5

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

AMANDA WESTLUND APRN-CNP

Nurse Practitioner (Psychiatric/Mental Health)