Individual provider Active NPI

Pauline Stoltzner, APRN, FNP-BC, PMHNP

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1205376589
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002457 Issued in NV
Practice address
4773 Caughlin Pkwy
Reno, NV 89519-1011
Phone
(775) 683-8239
Fax
(775) 683-8239
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN002457 NV
Family Nurse Practitioner 363LF0000X APRN002457 NV Primary

Addresses

Primary practice location

4773 Caughlin Pkwy
Reno, NV 89519-1011

Mailing address

4773 Caughlin Pkwy
Reno, NV 89519-1011
Phone (775) 683-8239

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
I20170417001225 NV Practitioner - Nurse Practitioner 2062798507 Reassigns benefits to 1 organization
Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4773 Caughlin Pkwy
Reno, NV 89519-1011
Phone (775) 683-8239

704 Mill St
Reno, NV 89502-1321
Phone (775) 954-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002457NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice Primary Care LLC Family CurrentSince Sep 22, 2024 Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
Northwest Neurological & Neurovascular Services PastSince Mar 4, 2017 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

4773 Caughlin Pkwy
Reno, NV 89519
Phone (775) 221-7400

6630 S McCarran Blvd
Ste A12
Reno, NV 89509
Phone (775) 221-7400

Interoperability endpoints

  • Direct secure messaging: pauline.stoltzner.1@19079.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1205376589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIN PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191011",
            "telephone_number": "775-683-8239",
            "fax_number": "775-683-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIN PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191011",
            "telephone_number": "775-683-8239",
            "fax_number": "775-683-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZNER",
        "first_name": "PAULINE",
        "credential": "APRN, FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN002457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.