Dr Kathryn Amalia Fivelstad, MD in Henderson, NV

Dr Kathryn Amalia Fivelstad, MD is a medicare enrolled "Emergency Medicine" physician in Henderson, Nevada. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Shadow Emergency Physicians Pllc, Nevada Emergency Physicians Pllc and her current practice location is 1050 W Galleria Dr, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 963-7000.

Dr Kathryn Amalia Fivelstad is licensed to practice in Nevada (license number 25793) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134757099.

Contact Information

	Dr Kathryn Amalia Fivelstad, MD
	1050 W Galleria Dr, Henderson, NV 89011-4800
	(702) 963-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kathryn Amalia Fivelstad
Gender	Female
Speciality	Emergency Medicine
Experience	6 Years
Location	1050 W Galleria Dr, Henderson, Nevada
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kathryn Amalia Fivelstad graduated from medical school in 2019

NPI Data:

NPI Number: 1134757099
Provider Enumeration Date: 03/27/2020
Last Update Date: 10/08/2025

Medicare PECOS Information:

PECOS PAC ID: 5799736088
Enrollment ID: I20240701003274

Medical Identifiers

Medical identifiers for Dr Kathryn Amalia Fivelstad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134757099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0101278010 (Virginia)	Secondary
207P00000X	Emergency Medicine	25793 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Nevada Medical Center	Sparks, NV	Hospital
Henderson Hospital	Henderson, NV	Hospital
Summerlin Hospital Medical Center	Las vegas, NV	Hospital
Valley Hospital Medical Center	Las vegas, NV	Hospital
Spring Valley Hospital Medical Center	Las vegas, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shadow Emergency Physicians Pllc	2860667375	121
Nevada Emergency Physicians Pllc	6406260579	21

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kathryn Amalia Fivelstad allows following entities to bill medicare on her behalf.

Entity Name	Shadow Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184795874 PECOS PAC ID: 2860667375 Enrollment ID: O20111212000888

Entity Name	Nevada Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730957275 PECOS PAC ID: 6406260579 Enrollment ID: O20210201001975

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Amalia Fivelstad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kathryn Amalia Fivelstad, MD 343 Banuelo Dr, Henderson, NV 89014-5116 Ph: () -	Dr Kathryn Amalia Fivelstad, MD 1050 W Galleria Dr, Henderson, NV 89011-4800 Ph: (702) 963-7000

Reviews and Comments

Emergency Medicine Doctors in Henderson, NV

Tim Kuo, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 702-616-6102
Steven Matthew Savage, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 American Pacific Dr Apt 1624, Henderson, NV 89074 Phone: 661-609-6431
Dr. Jaime Jessica Primerano, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052 Phone: 702-823-4255 Fax: 702-475-3261
Dr. Julie Ann Rivas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052 Phone: 702-823-4255
James Hayes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 330-493-4443 Fax: 330-493-8677
Randall K. Bess, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 702-616-5000
Roger Martinez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Lake Mead Pkwy, Henderson, NV 89015 Phone: 330-493-4443 Fax: 330-493-8677

Dr Kathryn Amalia Fivelstad, MD - Medicare Emergency Medicine in Henderson, NV