Individual provider Active NPI

Brittney Ann Fencl

  • Family Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1003574146
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
847732 Issued in NV
Practice address
1201 S Carson St
Carson City, NV 89701-5225
Phone
(775) 445-7220
Fax
(775) 841-1139
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 847732 NV Primary

Addresses

Primary practice location

1201 S Carson St
Carson City, NV 89701-5225

Mailing address

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217001348 NV Practitioner - Nurse Practitioner 7810380789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Regional HealthcareGroup PAC ID 1759284862, 20 clinicians

Practice addresses (Care Compare)

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7330

Hospital & facility affiliations

  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
847732NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Feb 1, 2022 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Feb 1, 2022 Accepting new patients

Locations

1201 S Carson St
Carson City, NV 89701
Phone (775) 445-7330

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

Interoperability endpoints

  • Direct secure messaging: ballen422860@direct.med.utah.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1003574146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015225",
            "telephone_number": "775-445-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015225",
            "telephone_number": "775-445-7220",
            "fax_number": "775-841-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENCL",
        "first_name": "BRITTNEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "847732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.