MCKELL KELLOGG PRINCE
NPI 1699401968
Physician Assistant in Las Vegas, NV

Q: What is Mckell Prince's NPI number?

The NPI number for Mckell Prince is 1699401968. It was assigned to this individual provider in the NPPES registry on July 28, 2022. The provider is also known as Mckell Kellogg.

Q: What is Mckell Prince's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mckell Prince was last updated on December 11, 2023. 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.

Active since July 28, 2022PECOS EnrolledAccepts Medicare Assignment

5320 S RAINBOW BLVD STE 250, LAS VEGAS, NV 89118(702) 671-6480(702) 671-6481 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Jul 28, 2022 (2 updates tracked since 2022).

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About Mckell Kellogg Prince NPPES

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

MCKELL KELLOGG PRINCE (NPI 1699401968) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2909) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Southern Hills Hospital And Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699401968

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMCKELL KELLOGG PRINCE

Location Address5320 S RAINBOW BLVD STE 250Las Vegas, NV 89118-1807

Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (702) 780-2315

Phone(702) 671-6480

Fax(702) 671-6481

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 28, 2022

Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1699401968 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 · PA2909

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5320 S RAINBOW BLVD STE 250, Las Vegas, NV 89118

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Other Names 1

Former Name (1)Mckell Kellogg

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 and accepts Medicare assignment

Mckell Kellogg Prince 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 ID1355786864

PECOS Enrollment IDI20240223002502

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 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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

32 services30 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

22 services19 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290047

Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89118 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 11

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

SUPARNA N SHAH MD

Otolaryngology