Individual provider Active NPI

Caryn Chanel Van Buren, APRN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1114752524
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
882463 Issued in NV
Practice address
9480 Double Diamond Pkwy
Reno, NV 89521-5845
Phone
(775) 786-1600
NPI assigned
Sep 5, 2024
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 265585 MT
Family Nurse Practitioner 363LF0000X 882463 NV Primary

Addresses

Primary practice location

9480 Double Diamond Pkwy
Reno, NV 89521-5845

Mailing address

9480 Double Diamond Pkwy
Reno, NV 89521-5845
Phone (775) 786-1600

Other practice location 1

304 Osloski Rd
Eureka, MT 59917-9217
Phone (406) 297-3145

Other names 1

  • Caryn Masutomi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Logan Health - Whitefish

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MT2 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
I20241001002747 NV Practitioner - Nurse Practitioner 0840220786 Reassigns benefits to 1 organization
I20260513003004 MT Practitioner - Nurse Practitioner 0840220786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - WhitefishGroup PAC ID 9335033687, shared by 6 NPIs, 48 clinicians
Hayes and Fyda MDS LTDGroup PAC ID 3476530338, 24 clinicians

Practice addresses (Care Compare)

304 Osloski Rd
Eureka, MT 59917-9217
Phone (406) 297-3145

9480 Double Diamond Pkwy
Suite 100
Reno, NV 89521-5844
Phone (775) 786-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265585MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes & Fyda MDS LTD CurrentSince Sep 13, 2024 Accepting new patients
Hayes & Fyda MDS LTD CurrentSince Sep 13, 2024 Accepting new patients

Locations

5411 Kietzke Ln
Ste 105
Reno, NV 89511
Phone (775) 786-1600

845 Aitken St
Reno, NV 89502
Phone (775) 470-8030

9480 Double Diamond Pkwy
Ste 100
Reno, NV 89521
Phone (775) 329-3100

Interoperability endpoints

  • Direct secure messaging: caryn.masutomi.1@8006.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1114752524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 DOUBLE DIAMOND PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215845",
            "telephone_number": "775-786-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 DOUBLE DIAMOND PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215845",
            "telephone_number": "775-786-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Osloski Rd",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MT",
            "postal_code": "599179217",
            "country_code": "US",
            "telephone_number": "406-297-3145",
            "fax_number": "406-297-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "CARYN",
        "middle_name": "CHANEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "265585",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "882463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Whitefish",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "304 Osloski Rd",
            "city": "Eureka",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599179217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARYN",
            "last_name": "MASUTOMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.