Active NPI
Michele Maria Stevanovich, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Carson City, NV
National Provider Identifier
1114813417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 890948
- Practice address
- 4095 N Carson St
Carson City, NV 89706-1936 - Phone
- (775) 224-5172
- Fax
- (775) 885-2785
- NPI assigned
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 890948 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | 890948 | NV |
Addresses
Primary practice location
4095 N Carson St
Carson City, NV 89706-1936
Mailing address
1160 Damonte Ranch Pkwy Unit 1168
Reno, NV 89521-4547
Phone (775) 224-5172
Other practice location 1
1761 College Pkwy Ste 112
Carson City, NV 89706-7954
Phone (775) 400-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6017 Mountain Shadow LN
Reno, NV 89511-9018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890948 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Servanna Health LLC | Current | Accepting new patients | |
| Philip a Rich,MD Professional Corporation | Current | Accepting new patients | |
| Eating Disorder Recovery Services Professional Corporation | Past | Accepting new patients |
Locations
1761 College Pkwy
Ste 112
Carson City, NV 89706
Phone (775) 477-7823
628 Lake St
Reno, NV 89501
Phone (702) 329-1717
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.
-
- Family Medicine Physician
- Carson City, NV
- NPI 1821939919
-
- Psychiatry Physician
- Reno, NV
- NPI 1760663702
-
- Clinical Psychologist
- Reno, NV
- NPI 1629222013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1114813417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 DAMONTE RANCH PKWY UNIT 1168",
"city": "RENO",
"state": "NV",
"postal_code": "895214547",
"telephone_number": "775-224-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4095 N CARSON ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897061936",
"telephone_number": "775-224-5172",
"fax_number": "775-885-2785"
}
],
"practiceLocations": [
{
"address_1": "1761 College Pkwy Ste 112",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897067954",
"country_code": "US",
"telephone_number": "775-400-1144",
"fax_number": "775-302-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVANOVICH",
"first_name": "MICHELE",
"middle_name": "MARIA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "890948",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "890948",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.