Individual provider Active NPI

Nickolas Hamilton Culpepper, M.D.

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1184069544
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17933 Issued in NV
Practice address
1240 E 9TH St
Reno, NV 89512
Phone
(775) 323-0478
Fax
(775) 789-4437
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A136129 CA
Psychiatry Physician 2084P0800X 17933 NV Primary

Addresses

Primary practice location

1240 E 9TH St
Reno, NV 89512

Mailing address

6940 Sierra Center Pkwy
Reno, NV 89511-2209
Phone (775) 571-4766

Other identifiers 1

IdentifierTypeStateIssuer
1184069544MedicaidNV

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918001787 NV Practitioner - Psychiatry 7012280514 Reassigns benefits to 1 organization
Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Culpepper Psychiatric Associates PLLCGroup PAC ID 0244562536, 6 clinicians

Practice addresses (Care Compare)

10395 Double R Blvd
Reno, NV 89521-5991
Phone (775) 507-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A136129CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nickolas Culpepper Psychiatry CurrentSince Apr 15, 2019 Accepting new patients
Culpepper Psychiatric Associates PLLC CurrentSince Jun 14, 2019 Accepting new patients
Culpepper Psychiatric Associates PLLC Past Accepting new patients
Culpepper Psychiatric Associates PLLC Past Accepting new patients

Locations

3108 Silver Sage Dr
Carson City, NV 89701
Phone (775) 507-2606

186 E Main St
Ste 5
Fernley, NV 89408
Phone (775) 507-2606

10395 Double R Blvd
Reno, NV 89521
Phone (775) 247-4902

6940 Sierra Center Pkwy
Reno, NV 89511
Phone (775) 393-2200

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1184069544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SIERRA CENTER PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112209",
            "telephone_number": "775-571-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 9TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89512",
            "telephone_number": "775-323-0478",
            "fax_number": "775-789-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "NICKOLAS",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A136129",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "17933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184069544",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.