Individual provider Active NPI

Janna Ray Cisneros

  • Gerontology Nurse Practitioner
  • Reno, NV
National Provider Identifier
1053159459
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
880422 Issued in NV
Practice address
10315 Professional Cir Ste 101
Reno, NV 89521-4802
Phone
(775) 982-2828
Fax
(775) 982-2834
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 880422 NV
Gerontology Nurse Practitioner 363LG0600X 880422 NV Primary

Addresses

Primary practice location

10315 Professional Cir Ste 101
Reno, NV 89521-4802

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5000

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
I20240903000823 NV Practitioner - Nurse Practitioner 7911446117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

10315 Professional Cir
Suite 101
Reno, NV 89521-4802
Phone (775) 982-2828

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Nurse Practitioner Current Accepting new patients
Community Care Services LLC CurrentSince Jan 10, 2025 Accepting new patients
Community Care Services LLC Nurse Practitioner CurrentSince Jan 10, 2025 Accepting new patients
Community Care Services LLC Nurse Practitioner Past Accepting new patients

Locations

1155 Mill St
#14
Reno, NV 89502

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

10315 Professional Cir
Ste 101
Reno, NV 89521
Phone (775) 982-2828

Interoperability endpoints

  • Direct secure messaging: jcisneros211174@direct.renown.org

Organizations & group practices 4

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 3

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1053159459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 PROFESSIONAL CIR STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214802",
            "telephone_number": "775-982-2828",
            "fax_number": "775-982-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "JANNA",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "880422",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "880422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.