NPIMap

Organization Active NPI

Usacs Integrated Acute Care Services of Nevada Bagnoli P C

Doing business as Lake Tahoe Regional Hospitalists

  • Hospitalist Physician
  • Carson City, NV
National Provider Identifier
1063608701
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C
Doing business as
Lake Tahoe Regional Hospitalists
Practice address
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone
(844) 474-4019
Fax
(775) 445-5175
NPI assigned
Sep 17, 2007
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Jennifer Chastain
Title
Provider Enrollment Officer
Phone
(844) 474-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NV Primary

Addresses

Primary practice location

1600 Medical Pkwy
Carson City, NV 89703-4625

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (844) 474-4019

Other practice location 1

1400 Medical Pkwy
Carson City, NV 89703-4624
Phone (775) 445-8795

Other names 1

  • Lake Tahoe Regional Hospitalists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000072 NV Part B Supplier - Clinic/Group Practice 1850471939 Receives reassigned benefits from 66 practitioners
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

201 W Liberty St
Ste 310
Reno, NV 89501
Phone (775) 222-0045

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1063608701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "844-474-4019",
            "fax_number": "330-492-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "844-474-4019",
            "fax_number": "775-445-5175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897034624",
            "country_code": "US",
            "telephone_number": "775-445-8795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT OFFICER",
        "authorized_official_telephone_number": "844-474-4019"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Tahoe Regional Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Tahoe Regional Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.