EDS-I HOMANSKY PRACTICES OF NEVADA PC
NPI 1720540628
Nurse Practitioner in Pahrump, NV
About Eds-i Homansky Practices Of Nevada Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDS-I HOMANSKY PRACTICES OF NEVADA PC (NPI 1720540628) is a healthcare organization registered as a nurse practitioner in Pahrump, Nevada and active in the NPI registry since April 2019. The organization lists Christopher Kennedy, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eds-i Homansky Practices Of Nevada Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Eds-I Homansky Practices Of Nevada PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (13)
Wilmington, OH 45177
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Eds-I Homansky Practices Of Nevada PC's NPI number?
The NPI number for Eds-I Homansky Practices Of Nevada PC is 1720540628. It was assigned to this organization in the NPPES registry on April 1, 2019.
Where is Eds-I Homansky Practices Of Nevada PC located?
Eds-I Homansky Practices Of Nevada PC is located at 360 S Lola Ln, Pahrump, NV 89048. The listed phone number is (954) 939-5000.
What is Eds-I Homansky Practices Of Nevada PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Eds-I Homansky Practices Of Nevada PC enrolled in Medicare?
Yes. Eds-I Homansky Practices Of Nevada PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eds-I Homansky Practices Of Nevada PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Eds-I Homansky Practices Of Nevada PC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eds-I Homansky Practices Of Nevada PC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Eds-I Homansky Practices Of Nevada Pc · NPI 1720540628
Nurse Practitioner organization in Pahrump, Nevada. Organization record, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1720540628 (Entity type: Organization)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Christopher Kennedy, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 360 S LOLA LN, Pahrump, NV 89048-0884
- **Phone:** (954) 939-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1720540628) · Data from the CMS NPPES public registry.