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KIM GENET MOFFATT-BAZILE PNP
NPI 1619003928
Nurse Practitioner in Las Vegas, NV

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
3121 S. MARYLAND PKWY, SUITE 220, LAS VEGAS, NV 89109(702) 732-1493(702) 732-1080 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2019, Mar 28, 2017 (2 updates tracked since 2017).

About Kim Genet Moffatt-bazile Pnp NPPES

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

KIM GENET MOFFATT-BAZILE PNP (NPI 1619003928) is an individual nurse practitioner in Las Vegas, Nevada, licensed in California (8485) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1619003928
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIM GENET MOFFATT-BAZILECredential: PNP
Location Address3121 S. MARYLAND PKWY, SUITE 220Las Vegas, NV 89109
Mailing Address747 52nd St, Hemo/oncology DeptOakland, CA 94609-1809 · (510) 428-3372 · Fax (510) 597-7199
Phone(702) 732-1493
Fax(702) 732-1080
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
✔ NPI 1619003928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 8485
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.
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN80724 (NV), APRN001811 (NV)
3121 S. MARYLAND PKWY, Las Vegas, NV 89109
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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

Kim Genet Moffatt-bazile Pnp 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 ID3476886284
PECOS Enrollment IDI20190611001195
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 89109 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.

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 Kim Moffatt-bazile's NPI number?

The NPI number for Kim Moffatt-bazile is 1619003928. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Kim Moffatt-bazile located?

Kim Moffatt-bazile practices at 3121 S. Maryland Pkwy Suite 220, Las Vegas, NV 89109. The listed phone number is (702) 732-1493.

What is Kim Moffatt-bazile's specialty?

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

Is Kim Moffatt-bazile enrolled in Medicare?

Yes. Kim Moffatt-bazile 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 Kim Moffatt-bazile was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.