Active NPI
John Isak Fors, APRN
- Gerontology Nurse Practitioner
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 822979
- Practice address
- 1500 E 2ND St Ste 300
Reno, NV 89502-1198 - Phone
- (775) 982-5000
- Fax
- (775) 982-3900
- NPI assigned
- Jul 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95040483 | CA | |
| Nurse Practitioner | 363L00000X | 95004834 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 822979 | NV | Primary |
Addresses
Primary practice location
1500 E 2ND St Ste 300
Reno, NV 89502-1198
Mailing address
1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822979 | Other | NV | APRN LIC |
| 151199557 | Other | NV | CAQH NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, San Francisco School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E 2ND St
Suite 300
Reno, NV 89502-1198
Phone (775) 982-5000
Hospital & facility affiliations
- Renown Regional Medical Center
- Renown South Meadows Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95040483 | CA | MD | Registered Nurse |
| 95004834 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Sequoia Health Services | Past | Accepting new patients | |
| Community Care Services LLC | Nurse Practitioner | Past | Accepting new patients |
| Renown Regional Medical Center | Past | Accepting new patients |
Locations
75 Pringle Way
Ste 900
Reno, NV 89502
Phone (775) 982-6270
1500 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 322-7811
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970
Interoperability endpoints
- jfors159968@direct.renown.org
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Critical Care Medicine (Internal Medicine) Physician
- Reno, NV
- NPI 1083178065
Nurse Practitioner
-
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1982088274
Nurse Practitioner
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Redwood City, CA
- NPI 1235172057
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124471230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E 2ND ST STE 300",
"city": "RENO",
"state": "NV",
"postal_code": "895021198",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORS",
"first_name": "JOHN",
"middle_name": "ISAK",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2023-03-07",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95040483",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95004834",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "822979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LIC",
"identifier": "822979",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "151199557",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.