Individual provider Active NPI

Renee Grandieri-Fluker, A.P.N.

  • Obstetrics & Gynecology Nurse Practitioner
  • Pahrump, NV
National Provider Identifier
1184657702
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APN00193 Issued in NV
Practice address
2780 Homestead Rd
Pahrump, NV 89048-5399
Phone
(775) 727-7959
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APN00193 NV Primary

Addresses

Primary practice location

2780 Homestead Rd
Pahrump, NV 89048-5399

Mailing address

181 Chevron St
Pahrump, NV 89048-6727
Phone (702) 544-9634

Other identifiers 2

IdentifierTypeStateIssuer
1184657702MedicaidNV
APRN00193OtherNVSTATE LICENSE

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
I20090211000795 NV Practitioner - Nurse Practitioner 6103981964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahrump Pain Free LLCGroup PAC ID 7517407844, 3 clinicians

Practice addresses (Care Compare)

2280 E Calvada Blvd
Suite 301
Pahrump, NV 89048-5877
Phone (775) 902-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN00193NVMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Pahrump Pain Free LLC CurrentSince Apr 4, 2025 Accepting new patients
SNL Management Group, LLC CurrentSince Jan 27, 2023 Accepting new patients

Locations

2280 E Calvada Blvd
Ste 301
Pahrump, NV 89048
Phone (775) 751-5211

1151 S Nevada Highway 160
Pahrump, NV 89048
Phone (775) 727-5509

2280 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 656-5083

3250 S Nevada Highway 160
Ste 7
Pahrump, NV 89048
Phone (702) 530-2225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGFDD/Endpoint/IAGFDD
  • Direct secure messaging: renee@direct.meditouchehr.com

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1184657702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CHEVRON ST",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890486727",
            "telephone_number": "702-544-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 HOMESTEAD RD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485399",
            "telephone_number": "775-727-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIERI-FLUKER",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "APN00193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184657702",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN00193",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.