MR. KEVIN ROA (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609597392

MR. KEVIN ROA (PMHNP) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 857971 (NV). The NPI Number for MR. KEVIN ROA (PMHNP) is 1609597392

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN ROA (PMHNP)
NPI
1609597392
Phone
(702) 685-3300
Address
2775 S Jones Blvd Ste 101
Enumeration Date
9 September 2022
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026853300
Graduation Year
2022 (4 years ago)
PAC ID
5991174179
Group Practice PAC ID
9436181237
Professional Enrollment ID
I20221209001603
Address ID
NV891465632LA2775XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MR. KEVIN ROA (PMHNP)

  • 2775 S Jones Blvd Ste 101

    Las Vegas, NV 891465632

    Phone: (702) 685-3300

    Type: Location

  • 7410 EDGECOVE CT

    LAS VEGAS, NV 891390505

    Phone: (702) 781-4900

    Type: Mailing

  • 2775 S JONES BLVD STE 101

    LAS VEGAS, NV 891465632

    Phone: (702) 685-3300

    Type: Mailing

  • 620 S TONOPAH DR

    LAS VEGAS, NV 891064029

    Phone: (702) 413-1391

    Fax: (702) 413-1392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $2,544.

Total Amount is formed as General ($2,544) + Research ($0) + Ownership ($0) = $2,544.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($504).

Total Amount

$2,544

General + Research + Ownership

Payments

114

Total payment records

General Amount

$2,544

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221209001603INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7244$0
View full utilization report →

Insurance plans in this area (ZIP 89146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436181237View full group profile
NameSpecialtyState
Nurse PractitionerNV
Physician AssistantNV
P S Y C H I A T R YCA
P S Y C H I A T R YNY
Nurse PractitionerNV
P S Y C H I A T R YNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What federal number belongs to MR. KEVIN ROA (PMHNP)?
The federal identifier for MR. KEVIN ROA (PMHNP) is NPI 1609597392.
Is MR. KEVIN ROA (PMHNP)'s NPI currently valid?
The extract we use shows MR. KEVIN ROA (PMHNP) as active.
What field does MR. KEVIN ROA (PMHNP) work in?
You can think of MR. KEVIN ROA (PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. KEVIN ROA (PMHNP)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for MR. KEVIN ROA (PMHNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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