NPIMap

Individual provider Active NPI

Staci Ann Dooley, MSN, APN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1073836276
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001179 Issued in NV
Practice address
15 McCabe Dr Ste 200
Reno, NV 89511-4816
Phone
(775) 204-4000
Fax
(775) 204-4001
NPI assigned
Mar 3, 2010
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 APN001179 NV Primary

Addresses

Primary practice location

15 McCabe Dr Ste 200
Reno, NV 89511-4816

Mailing address

10415 Double R Blvd
Reno, NV 89521-8905
Phone (775) 829-2277

Other practice location 1

10415 Double R Blvd
Reno, NV 89521-8905
Phone (775) 829-2277

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
I20111129000270 NV Practitioner - Nurse Practitioner 4183762263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Medical Group Hicks PCGroup PAC ID 4385059625, 34 clinicians

Practice addresses (Care Compare)

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN001179NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group Hicks PC CurrentSince Jan 25, 2021 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Nancy Conley MD Family Medicine PastSince Oct 1, 2006 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

180 E Winnie Ln
Carson City, NV 89706
Phone (775) 546-2180

15 McCabe Dr
Ste 200
Reno, NV 89511
Phone (775) 355-9411

2861 Northtowne Ln
Reno, NV 89512
Phone (775) 360-4909

6275 Sharlands Ave
Ste B15
Reno, NV 89523

6275 Sharlands Ave
Ste B1518
Reno, NV 89523

6630 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (725) 829-1212

5975 S Los Altos Pkwy
Sparks, NV 89436

Interoperability endpoints

  • Direct secure messaging: staci.dooley.p1@direct.smmg.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1073836276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-829-2277",
            "fax_number": "775-829-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114816",
            "telephone_number": "775-204-4000",
            "fax_number": "775-204-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10415 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895218905",
            "country_code": "US",
            "telephone_number": "775-829-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "STACI",
        "middle_name": "ANN",
        "credential": "MSN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.