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

MS. Jeanie Marie Kittleson, PA-C

Individual provider Medical Physician Assistant · NPI 1164559415

MS. Jeanie Marie Kittleson, PA-C is a Physician Assistant in Henderson, Nevada. Qualified in 2003, 23 years ago. Practices as a sole proprietor, works from 8 locations and accepts Medicare assignment. Licensed in Florida and Nevada.

Years since qualifying
23
Licensed in
FL, NV
In the registry since
2007
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

St Rose Dominican De Lima 102 E Lake Mead Pkwy
Henderson, NV 89015
Phone: (702) 616-4600
Fax: (702) 616-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-7283
  • Kindred Hospital De Lima, Henderson, NV 89015 — (702) 856-0633
  • 2900 W Horizon Ridge Pkwy Ste 241, Henderson, NV 89052-5013 — (702) 233-9222
  • 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 — (702) 616-5000
  • 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 — (702) 492-8632
  • 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 — (702) 784-4300
  • 8550 S Eastern Ave, Las Vegas, NV 89123-2835 — (702) 382-3155

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA833 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA833 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9114559 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA833 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X (NV)

Record details

NPI number1164559415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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