DR. JOHN MASON MCKITTRICK – Family Medicine Physician, NPI 1891879706
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
28 HOSPICE/PALLIATIVE CARE in NV
Provider Addresses for DR. JOHN MASON MCKITTRICK
2410, Fire Mesa Street, Las Vegas Technology Park, Desert Shores, Las Vegas, Clark County, Nevada, 89128, United States
STE. 180
LAS VEGAS, NV 891289016
Phone: (702) 992-6875
Fax: (902) 992-6878
Type: Mailing
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 891446308
Phone: (702) 202-2060
Fax: (702) 605-2892
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-11-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181121002365 | I | Hospice/Palliative Care | NV | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | NV | |
| Family Practice | NV | |
| Internal Medicine | NV | |
| Hospitalist, Internal Medicine | NV | |
| Internal Medicine | NV | |
| H O S P I T A L I S T | PR | |
| Internal Medicine | AZ | |
| Internal Medicine | NV |
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