Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Genet Moffatt-Bazile, PNP

Individual provider Pediatric Registered Nurse · NPI 1619003928

Kim Genet Moffatt-Bazile, PNP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 1996, 30 years ago. Practices with UCSF Medical Group Business Services, a 1,531-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
30
Licensed in
CA, NV
In the registry since
2007
Specialties on file
3
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

3121 S Maryland Pkwy Ste 220
Las Vegas, NV 89109
Phone: (702) 732-1493
Fax: (702) 732-1080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8485 (CA)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence RN80724 (NV)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence APRN001811 (NV)

Record details

NPI number1619003928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESMay 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Ucsf Medical Group Business Services — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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