Individual provider Active NPI

Emanuella Pomerlyan

  • Family Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1083159719
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN00238 Issued in NV
Practice address
1200 Mountain St
Carson City, NV 89703-3821
Phone
(775) 882-1324
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 APRN00238 NV Primary

Addresses

Primary practice location

1200 Mountain St
Carson City, NV 89703-3821

Mailing address

1200 Mountain St
Carson City, NV 89703-3821
Phone (775) 882-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170328002674 NV Practitioner - Nurse Practitioner 5092090340 Reassigns benefits to 1 organization
I20230201003409 CA Practitioner - Nurse Practitioner 5092090340 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN00238NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals of California CurrentSince Jan 1, 2022 Accepting new patients
Carson Medical Group Professional Corporation CurrentSince Jan 30, 2017 Accepting new patients
Saint Marys Medical Group Inc. Current Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

1200 Mountain St
Carson City, NV 89703
Phone (775) 882-1324

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

Interoperability endpoints

  • Direct secure messaging: emanuella.pomerlyan.1@30520.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA
  • Direct secure messaging: emanuella.pomerlyan@344835852861444.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1083159719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-882-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-882-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLYAN",
        "first_name": "EMANUELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN00238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.