Individual provider Active NPI

Michele Maria Stevanovich, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1114813417
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
890948 Issued in NV
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

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216001114 NV Practitioner - Nurse Practitioner 9638157787 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
890948NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Servanna Health LLC Current Accepting new patients
Philip a Rich,MD Professional Corporation CurrentSince Jan 1, 2026 Accepting new patients
Eating Disorder Recovery Services Professional Corporation PastSince Jan 1, 2026 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.

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

Verify at the official NPI Registry.