Individual provider Active NPI

Jessica Lynn Lirag, APRN, RNFA

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1174048524
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
859132 Issued in NV
Practice address
3797 Portland Dr
Reno, NV 89511-6037
Phone
(775) 848-1587
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN56892 NV
Acute Care Nurse Practitioner 363LA2100X 859132 NV
Gerontology Nurse Practitioner 363LG0600X 859132 NV
Nurse Practitioner 363L00000X 859132 NV Primary

Addresses

Primary practice location

3797 Portland Dr
Reno, NV 89511-6037

Mailing address

3797 Portland Dr
Reno, NV 89511-6037
Phone (775) 848-1587

Other names 1

  • Jessica Lynn Denson Former name

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
I20221227001386 NV Practitioner - Nurse Practitioner 7214307701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN56892NVMDRegistered Nurse First Assistant
859132NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gomez Kozar McElreath Smith CurrentSince Dec 15, 2022 Accepting new patients
Precision Surgical Assistance LLC Registered Nurse First Assistant CurrentSince Oct 25, 2019 Accepting new patients

Locations

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

75 Pringle Way
Ste 1002
Reno, NV 89502
Phone (702) 323-7500

Organizations & group practices 2

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1174048524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3797 PORTLAND DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895116037",
            "telephone_number": "775-848-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3797 PORTLAND DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895116037",
            "telephone_number": "775-848-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRAG",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "APRN, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "RN56892",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "859132",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "859132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "859132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DENSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.