Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467638809 Individual Practitioner Female Practitioner

Kortney Mortimer , PA

Physician Assistant • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kortney Mortimer, PA is a certified Physician Assistant practicing in Las Vegas, NV. With approximately 19 years of clinical experience since completing medical education in 2007, Kortney Mortimer delivers high-quality medical care to the local community at 2316 W CHARLESTON BLVD.

Kortney Mortimer is affiliated with Optum Medical Group Ii Rhodes P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2316 W Charleston Blvd

Las Vegas, NV 891022149

Telephone 7028778330
Fax 7028778312
Associated Practice Facility / Clinic
🏢 Southwest Medical Associates Facility NPI 1881661411

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Las Vegas, NV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.1 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
501 Specialists

Practicing in Las Vegas, NV (1097 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mortimer (19 Years) 19 Yrs
Las Vegas Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 11 $380.38 $106.49

Medical Specialties & State Licenses

CMS Verified: 2023-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV PA1339

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NV PA1339

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1467638809 (NV)

Hospital & Practice Group Affiliations

Optum Medical Group Ii Rhodes P C

4750 W Oakey Blvd, Las Vegas, NV 891021535

Phone: 7025793253

Secondary Practice Locations

9649 Belair Rd Ste 202

Baltimore, MD 212361116

Phone: 4102376904

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1013988997

Doctor of Podiatric Medicine

Dr. Juan Trivella , MD

Internal Medicine - Gastroenterology

NPI 1407122443

Doctor of Medicine (M.D.)

Lyndsie Friedel , PA-C

Physician Assistant

NPI 1588962773

Physician Assistant (Certified)

Dr. Nicholas Tibaldi , MD

Internal Medicine - Gastroenterology

NPI 1760478564

Doctor of Medicine (M.D.)

Dr. Chaorui Tian , MD, PhD

Internal Medicine - Gastroenterology

NPI 1801057625

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2023

Physician Assistant (License #PA1339 in NV)

NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 2316 W CHARLESTON BLVD, LAS VEGAS, NV 891022149 (Tel: 7028778330)

📍
Updated Business Mailing Address February 14, 2014

Registered at PO BOX 15645, LAS VEGAS, NV 891145645 (Tel: 7028778330)

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as KORTNEY MORTIMER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Physician Assistant (License #PA1339 in NV)

🟢
Initial NPI Registration & Enumeration January 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kortney Mortimer. Be the first to share your experience!

Sign in to leave a review for Kortney Mortimer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1467638809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2008
Last Update: March 24, 2023
Sole Proprietor: No

Mailing Address

Po Box 15645

Las Vegas, NV 891145645

Phone: 7028778330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.