NPIMap

Individual provider Active NPI

Jennifer Leilani Griffo, APRN

  • Gerontology Nurse Practitioner
  • Reno, NV
National Provider Identifier
1053931386
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
831635 Issued in NV
Practice address
1500 E 2ND St Ste 400
Reno, NV 89502-1198
Phone
(775) 982-2400
Fax
(775) 982-2410
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 831635 NV Primary

Addresses

Primary practice location

1500 E 2ND St Ste 400
Reno, NV 89502-1198

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729001985 NV Practitioner - Nurse Practitioner 6204251978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

1500 E 2ND St
Suite 400
Reno, NV 89502-1198
Phone (775) 982-2400

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
831635NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Current Accepting new patients
Community Care Services LLC CurrentSince Jul 1, 2020 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince Jul 1, 2020 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Carson Valley Medical Center Rural Health Clinic Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

1516 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 783-3020

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

1649 Lucerne St
Minden, NV 89423
Phone (775) 782-1603

1155 Mill St
#14
Reno, NV 89502

1500 E 2nd St
Ste 400
Reno, NV 89502

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

10201 Double R Blvd
Ste 330
Reno, NV 89521
Phone (775) 982-7000

1500 E 2nd St
Ste 400P1
Reno, NV 89502

850 Harvard Way
Reno, NV 89502

Interoperability endpoints

  • Direct secure messaging: jgriffo21521@direct.renown.org

Organizations & group practices 8

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 6

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1053931386",
    "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": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021198",
            "telephone_number": "775-982-2400",
            "fax_number": "775-982-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFO",
        "first_name": "JENNIFER",
        "middle_name": "LEILANI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "831635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.