Renown Health Medical Group - Medicare Primary Care in Sparks, NV

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Renown Health Medical Group is a medicare enrolled primary clinic (Family Medicine) in Sparks, Nevada. The current practice location for Renown Health Medical Group is 1525 Los Altos Pkwy, Sparks, Nevada. For appointments, you can reach them via phone at (775) 982-5000. The mailing address for Renown Health Medical Group is 1155 Mill St # M14, Reno, Nevada and phone number is (775) 982-5262.

Renown Health Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1861445892. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (775) 982-5000.

Contact Information

Renown Health Medical Group
1525 Los Altos Pkwy
Sparks
NV 89436-6692
(775) 982-5000
(775) 982-3900

Map and Direction


Primary Care Clinic Profile

Full NameRenown Health Medical Group
SpecialityFamily Medicine
Location1525 Los Altos Pkwy, Sparks, Nevada
Authorized Official Name and PositionBrett Moore (CFO ACUTE CARE)
Authorized Official Contact7759826343
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renown Health Medical Group
1155 Mill St # M14
Reno
NV 89502-1576

Ph: (775) 982-5262		Renown Health Medical Group
1525 Los Altos Pkwy
Sparks
NV 89436-6692

Ph: (775) 982-5000

NPI Details:

NPI Number1861445892
Provider Enumeration Date05/19/2006
Last Update Date06/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0244139798
Medicare Enrollment IDO20040105000431

Medical Identifiers

Medical identifiers for Renown Health Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861445892NPI-NPPES
CB6606OtherNVRR MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Renown Health Medical Group acts as a billing entity for following providers:
Provider NameSuzanne E Zsikla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629041702
PECOS PAC ID: 0648166975
Enrollment ID: I20040224001084
Provider NameRichard W Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962504142
PECOS PAC ID: 7911998596
Enrollment ID: I20040521000634
Provider NameMichael D Haley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225112550
PECOS PAC ID: 5496710543
Enrollment ID: I20041130000908
Provider NameRobert T Thole
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053384107
PECOS PAC ID: 4385601822
Enrollment ID: I20041215001007
Provider NamePhilip H Landis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629162649
PECOS PAC ID: 2769419761
Enrollment ID: I20050721000237
Provider NameTim T Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164493607
PECOS PAC ID: 5092789370
Enrollment ID: I20050921000667
Provider NameBryan J Young
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851452452
PECOS PAC ID: 0749212280
Enrollment ID: I20051004000408
Provider NameMarie M Mccormack
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033178637
PECOS PAC ID: 5496765471
Enrollment ID: I20060504000798
Provider NameBret Bellard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538225776
PECOS PAC ID: 0345242905
Enrollment ID: I20070209000648
Provider NameJanice Kay Bryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033186457
PECOS PAC ID: 6103881420
Enrollment ID: I20070712000790
Provider NameTiffany R Barnett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871627521
PECOS PAC ID: 4789757279
Enrollment ID: I20080716000490
Provider NameBrion R Hill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083748743
PECOS PAC ID: 1557419496
Enrollment ID: I20090501000363
Provider NameAlicia Marie Garaventa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487858247
PECOS PAC ID: 3678621265
Enrollment ID: I20090508000557
Provider NameAaron A Bertalmio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336339951
PECOS PAC ID: 4789734906
Enrollment ID: I20090610000218
Provider NameShruti Basho
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972791614
PECOS PAC ID: 6002881232
Enrollment ID: I20090818000165
Provider NameLuis E Palacio
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1659486330
PECOS PAC ID: 3375541873
Enrollment ID: I20091113000184
Provider NameSteven Sundstrom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730153230
PECOS PAC ID: 2365584620
Enrollment ID: I20100125000403
Provider NameCharlotte A Kermode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396992780
PECOS PAC ID: 6709929631
Enrollment ID: I20100201000528
Provider NameSusan J Park
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003070640
PECOS PAC ID: 9133282668
Enrollment ID: I20100420000876
Provider NameMichele J Kiser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477527505
PECOS PAC ID: 0547454993
Enrollment ID: I20101030000086
Provider NameDean Miyagawa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821061599
PECOS PAC ID: 3072707322
Enrollment ID: I20101030000142
Provider NameCristin E Newkirk Thompson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295066082
PECOS PAC ID: 9436281144
Enrollment ID: I20120109000865
Provider NameRasha A Nimeri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598041022
PECOS PAC ID: 4880854876
Enrollment ID: I20130129000461
Provider NameFelicia Antoinette Lowenstein-moffett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477787521
PECOS PAC ID: 0941488977
Enrollment ID: I20130501000177
Provider NameJean M Adamski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134226426
PECOS PAC ID: 5890923122
Enrollment ID: I20140114000735
Provider NameNazar E Mohamed Sanousi
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1215290499
PECOS PAC ID: 7517181605
Enrollment ID: I20140808002230
Provider NameBenjamin P Hogan
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1811298078
PECOS PAC ID: 6002098266
Enrollment ID: I20140814002084
Provider NameDerek Arthur Beenfeldt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780973891
PECOS PAC ID: 2567695240
Enrollment ID: I20140904002771
Provider NameMarisa Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164826996
PECOS PAC ID: 1355665530
Enrollment ID: I20150116000529
Provider NameErin Rachel Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487035614
PECOS PAC ID: 7810204195
Enrollment ID: I20150918001254
Provider NameDanell Harter Gilman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609019777
PECOS PAC ID: 9537477880
Enrollment ID: I20151006001683
Provider NameHarbrinder Bobby Singh Kahlon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053438127
PECOS PAC ID: 5496046583
Enrollment ID: I20160621001070
Provider NameMichael Raymund C Gonzales
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1669635785
PECOS PAC ID: 6103081898
Enrollment ID: I20160901002190
Provider NameLy Vu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528403524
PECOS PAC ID: 9234364159
Enrollment ID: I20160930001248
Provider NameJamie Michele Schnell Blitstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255780557
PECOS PAC ID: 4486942901
Enrollment ID: I20161014001759
Provider NameKarl Desmond Friedrich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558403006
PECOS PAC ID: 8820020977
Enrollment ID: I20161024001273
Provider NameAleise Joelle Whitlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336694421
PECOS PAC ID: 7517249295
Enrollment ID: I20170113001015
Provider NameAlison Breanne Lynch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497017719
PECOS PAC ID: 3779897194
Enrollment ID: I20170922001945
Provider NameAshley Jean Dimpel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962924241
PECOS PAC ID: 4284908468
Enrollment ID: I20170927001296
Provider NameCatherine Elizabeth Mindeguia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851815948
PECOS PAC ID: 1456626878
Enrollment ID: I20171010002877
Provider NameTera Lynn Zuccarini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184147993
PECOS PAC ID: 3072888270
Enrollment ID: I20171012003457
Provider NameTyhesia Evette White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902815640
PECOS PAC ID: 9638432446
Enrollment ID: I20180409001942
Provider NameBonnie R Ferrara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962829820
PECOS PAC ID: 5799001491
Enrollment ID: I20180910001402
Provider NameKrystal Raye Dorman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427544923
PECOS PAC ID: 4587915210
Enrollment ID: I20180919002950
Provider NameBrandon J Hockenberry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417361965
PECOS PAC ID: 2567688476
Enrollment ID: I20180921001490
Provider NameNathaniel Israel Garduque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275027930
PECOS PAC ID: 0749534105
Enrollment ID: I20181121001550
Provider NameEdith Berejnaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932676012
PECOS PAC ID: 5698013472
Enrollment ID: I20190221000739
Provider NameDana J Julian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346717279
PECOS PAC ID: 1557600558
Enrollment ID: I20190311000615
Provider NameTsung-hsien Justin Lin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023402492
PECOS PAC ID: 9436466489
Enrollment ID: I20190315001674
Provider NameErin Lee Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992270318
PECOS PAC ID: 7416298310
Enrollment ID: I20190402001867
Provider NameMatthew Jeffrey Klippenstein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902256951
PECOS PAC ID: 4284967563
Enrollment ID: I20190603000406
Provider NameRussell Stodtmeister
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275982621
PECOS PAC ID: 9335411156
Enrollment ID: I20190614000443
Provider NameKatherine Thyssen
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1790191955
PECOS PAC ID: 6406072495
Enrollment ID: I20190709002134
Provider NameThi Thi Win
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124480975
PECOS PAC ID: 2860789120
Enrollment ID: I20190822001841
Provider NameLaura N Stroup
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477947778
PECOS PAC ID: 3678877107
Enrollment ID: I20191024002915
Provider NameMarisa Rachael Traversie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477108124
PECOS PAC ID: 4284066184
Enrollment ID: I20191114001913
Provider NameLindsey Marie Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225688187
PECOS PAC ID: 2668806274
Enrollment ID: I20200107000603
Provider NameSatinderpal Kaur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114475837
PECOS PAC ID: 7113200452
Enrollment ID: I20200129001456
Provider NameRachel Lynn Benson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205358785
PECOS PAC ID: 5092138164
Enrollment ID: I20200708000471
Provider NameRoostam M Kholmatov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497277123
PECOS PAC ID: 5092132365
Enrollment ID: I20200901001761
Provider NameJing He
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1023541745
PECOS PAC ID: 4082031273
Enrollment ID: I20200902002429
Provider NameRobert W Bogart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760837595
PECOS PAC ID: 1557789179
Enrollment ID: I20200915000505
Provider NameCarl F Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114029931
PECOS PAC ID: 7113985649
Enrollment ID: I20200916002325
Provider NameJoan G Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285736009
PECOS PAC ID: 9931167467
Enrollment ID: I20200921001793
Provider NameSarah Haunani Herbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518570357
PECOS PAC ID: 6800215666
Enrollment ID: I20200928001410
Provider NameSarah Gentile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669082459
PECOS PAC ID: 1658790233
Enrollment ID: I20200930003498
Provider NameDenise Jolene Carmack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235744103
PECOS PAC ID: 7113347931
Enrollment ID: I20201016001520
Provider NameAllison Morgan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437311206
PECOS PAC ID: 7416121157
Enrollment ID: I20201027001548
Provider NameJennifer Lee Simcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073125928
PECOS PAC ID: 1658782024
Enrollment ID: I20201117000492
Provider NameCecilia O Dowd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154414795
PECOS PAC ID: 4688867674
Enrollment ID: I20201117003002
Provider NameAllison Dawn Basta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871193300
PECOS PAC ID: 1355754805
Enrollment ID: I20201230002553
Provider NameSarah Nicole Snow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932715497
PECOS PAC ID: 4981017001
Enrollment ID: I20210111001940
Provider NameMelanie Hacklander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285233486
PECOS PAC ID: 5597178376
Enrollment ID: I20210115002145
Provider NameKimberly Michelle Sheldon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376131284
PECOS PAC ID: 9436564408
Enrollment ID: I20210225001027
Provider NameHeather Louise Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023428174
PECOS PAC ID: 8426465337
Enrollment ID: I20210319002133
Provider NameCory Lee Frey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326617994
PECOS PAC ID: 3678975661
Enrollment ID: I20210713003839
Provider NameMaria Theresa Lozano Sacdalan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356917074
PECOS PAC ID: 5698177996
Enrollment ID: I20210714003190
Provider NameAurosis Reddy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811487432
PECOS PAC ID: 3971906215
Enrollment ID: I20210726000348
Provider NameRyan James Bristol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013597756
PECOS PAC ID: 7012310246
Enrollment ID: I20210727000306
Provider NameMarianna Kryvokrysenko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255826178
PECOS PAC ID: 4789004052
Enrollment ID: I20210804001283
Provider NameJason Wong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811485287
PECOS PAC ID: 1355746231
Enrollment ID: I20210817000755
Provider NameNancy Osakwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992357271
PECOS PAC ID: 0244663987
Enrollment ID: I20210818003821
Provider NameBernard Roscoe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316301617
PECOS PAC ID: 3678803467
Enrollment ID: I20210826002156
Provider NameMorgan Gilliam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679143903
PECOS PAC ID: 9335545821
Enrollment ID: I20210908004043
Provider NameSamir S Bajwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851896062
PECOS PAC ID: 9335545862
Enrollment ID: I20210909001034
Provider NameKarin Helen Roosenschoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730755018
PECOS PAC ID: 3870981996
Enrollment ID: I20211022000607
Provider NameMaria Victoria Ortega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457018178
PECOS PAC ID: 3072905686
Enrollment ID: I20220111001757
Provider NameJessica Bianca Peppitoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720748379
PECOS PAC ID: 7315330701
Enrollment ID: I20220208000209
Provider NameBrittnie Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073261467
PECOS PAC ID: 4880071554
Enrollment ID: I20220518001914
Provider NameTrina Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104570969
PECOS PAC ID: 1153709209
Enrollment ID: I20220602001117
Provider NameShannon Rae Scarbrough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538815931
PECOS PAC ID: 0941688584
Enrollment ID: I20220609002123
Provider NameMichael Babcock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801456371
PECOS PAC ID: 6709111230
Enrollment ID: I20220802003424
Provider NameSarah Exene Marschall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588223945
PECOS PAC ID: 9638552904
Enrollment ID: I20220818002867
Provider NameVincent C Chuang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295398485
PECOS PAC ID: 9830420421
Enrollment ID: I20220919000540
Provider NameJasleen Waraich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215595269
PECOS PAC ID: 5193052082
Enrollment ID: I20221024000626
Provider NameAlexandra Caroline Westover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558616102
PECOS PAC ID: 3476920547
Enrollment ID: I20221102000726
Provider NameDaniel Bradford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528123254
PECOS PAC ID: 4082675244
Enrollment ID: I20230111001401
Provider NameKatie Callahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437867926
PECOS PAC ID: 5698148054
Enrollment ID: I20230306001151
Provider NameMelanie Elizabeth Underwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023733326
PECOS PAC ID: 9931573995
Enrollment ID: I20230315001059
Provider NameTara Nicole Weglarz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982300091
PECOS PAC ID: 6800251323
Enrollment ID: I20230504002292
Provider NamePooja Reddy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457813099
PECOS PAC ID: 8325370968
Enrollment ID: I20230524001456
Provider NameAaron Lindon Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831893254
PECOS PAC ID: 4486012473
Enrollment ID: I20230623000703
Provider NameYo Sup Keum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720617574
PECOS PAC ID: 9032520366
Enrollment ID: I20230713002772
Provider NameSamia Amjad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194344895
PECOS PAC ID: 9032531108
Enrollment ID: I20230801003803
Provider NameKaira Elaine Lyons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700562717
PECOS PAC ID: 6406210558
Enrollment ID: I20230908000241
Provider NameAndrea Elise Riggio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992496681
PECOS PAC ID: 0446605158
Enrollment ID: I20231016003675
Provider NameJuan Palacios
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457859951
PECOS PAC ID: 7012340623
Enrollment ID: I20231018001956
Provider NameSilvija Larsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174291009
PECOS PAC ID: 4789030867
Enrollment ID: I20231025002999
Provider NameJennifer Lindsay Frusteri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659069490
PECOS PAC ID: 7618323502
Enrollment ID: I20231030000978
Provider NameOlivia Valentina Zicari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205612439
PECOS PAC ID: 0446608012
Enrollment ID: I20231121002580
Provider NameDavid J Bunker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205618402
PECOS PAC ID: 6901259662
Enrollment ID: I20240129004120
Provider NameMackenzie Trotter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861171035
PECOS PAC ID: 5597129783
Enrollment ID: I20240308001240

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.