NPIMap

Individual provider Active NPI

Jennifer Ann Langham, RN, ACNPC-AG

  • Gerontology Nurse Practitioner
  • Reno, NV
National Provider Identifier
1083379127
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
838434 Issued in NV
Practice address
6880 S McCarran Blvd Ste 5
Reno, NV 89509-6129
Phone
(775) 398-1981
Fax
(775) 398-1984
NPI assigned
Nov 3, 2021
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
Gerontology Nurse Practitioner 363LG0600X 838434 NV Primary

Addresses

Primary practice location

6880 S McCarran Blvd Ste 5
Reno, NV 89509-6129

Mailing address

PO Box 511360
Los Angeles, CA 90051-7915
Phone (775) 398-1981

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
I20220311001808 NV Practitioner - Nurse Practitioner 3678968526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

6880 S McCarran Blvd
Suite 5
Reno, NV 89509-6129
Phone (775) 398-1981

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
838434NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Acute Care CurrentSince Dec 23, 2021 Accepting new patients
Community Care Services LLC Current Accepting new patients
Geriatric Specialty Care of Nevada, PLLC, Steven L. Phillips, M.D. CurrentSince Jul 15, 2025 Accepting new patients
Community Care Services LLC CurrentSince Dec 23, 2021 Accepting new patients

Locations

1189 Kimmerling Rd
Gardnerville, NV 89460
Phone (775) 265-1400

6880 S McCarran Blvd
Ste 5
Reno, NV 89509
Phone (775) 398-1981

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#W14
Reno, NV 89502
Phone (775) 982-2125

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

Interoperability endpoints

  • Direct secure messaging: jlangham217663@direct.renown.org
  • Direct secure messaging: jlangham41298@direct.renown.org

Organizations & group practices 4

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 7

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1083379127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517915",
            "telephone_number": "775-398-1981",
            "fax_number": "775-398-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 S MCCARRAN BLVD STE 5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096129",
            "telephone_number": "775-398-1981",
            "fax_number": "775-398-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "RN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "838434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.