Active NPI
Renee Grandieri-Fluker, A.P.N.
- Obstetrics & Gynecology Nurse Practitioner
- Pahrump, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- APN00193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184657702 | Medicaid | NV | |
| APRN00193 | Other | NV | STATE 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
Enrollment records 1
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
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00193 | NV | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Current | Accepting new patients | |
| Pahrump Pain Free LLC | Current | Accepting new patients | |
| SNL Management Group, LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/IAGFDD/Endpoint/IAGFDD
- 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.
-
- Chiropractor
- Pahrump, NV
- NPI 1568290856
-
- Chiropractor
- Pahrump, NV
- NPI 1710697578
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.