Stanley Kidiavayi, APRN
NPI 1902290968ActiveIndividual· Nurse Practitioner, Family· Las Vegas, NV
Nurse Practitioner, Family (APRN) with Good Samaritan Family Practice and 1 other group, practicing in Las Vegas, Nevada. In 2024 Medicare paid $1,031,635 for 214 patients, and Part D covered 1,670 of their prescriptions, 87% of them generic. Kerecis Limited reported $14.10 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1902290968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Mar 26, 2015 |
| Last updated in NPPES | Jan 26, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN002072 | NV |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | APRN002072 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AK); Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 1,720 across 28 procedure codes |
| Paid by Medicare | $1,031,635 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,670 · 2,514 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $119,445 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Good Samaritan Family PracticeLas Vegas, NV · 4 clinicians
- Comprehensive Medical Group LLCLas Vegas, NV · 3 clinicians
Other facilities
- Arrow Home Health Care Providers of Nevada LLCHome health agency · Las Vegas, NV
- Caring Nurses IncHome health agency · Las Vegas, NV
- Enhabit Home HealthHome health agency · Las Vegas, NV
- Enhabit Home Health (Pecos)Home health agency · Henderson, NV
- St. Agatha Home Health LLCHome health agency · Henderson, NV
Industry payments (Open Payments)
- 2025$14.10 · 1 payment from 1 company
- 2024$136.68 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $14.10 | 1 |
What the 2025 payments were for
- Food and Beverage$14.10 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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