Individual provider Active NPI

Hannah Jacques, APRN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1063301406
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818078 Issued in NV
Practice address
605 Sierra Rose Dr Ste 4
Reno, NV 89511-2093
Phone
(775) 689-5410
Fax
(775) 451-1713
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 818078 NV Primary

Addresses

Primary practice location

605 Sierra Rose Dr Ste 4
Reno, NV 89511-2093

Mailing address

605 Sierra Rose Dr Ste 4
Reno, NV 89511-2093
Phone (775) 689-5410

Other names 1

  • Hannah Novak Former name

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
I20250822003113 NV Practitioner - Nurse Practitioner 0143720227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman and Pitman LTDGroup PAC ID 9638177058, 10 clinicians

Practice addresses (Care Compare)

605 Sierra Rose Dr
Suite 4
Reno, NV 89511-2093
Phone (775) 689-5410

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
818078NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berman & Mack LTD. CurrentSince Aug 7, 2025 Accepting new patients

Locations

605 Sierra Rose Dr
Ste 4
Reno, NV 89511
Phone (775) 689-5410

Organizations & group practices 1

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 9

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1063301406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112093",
            "telephone_number": "775-689-5410",
            "fax_number": "775-451-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112093",
            "telephone_number": "775-689-5410",
            "fax_number": "775-451-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "HANNAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "NOVAK",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.