Michael Poulin, RN, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001757 Issued in NV

Practice address

21 Locust St
Reno, NV 89502-1316

Phone

(775) 982-5270

Fax

(775) 982-5288

NPI assigned

Apr 14, 2014

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: michael.poulin.p1@direct.smmg.nextgenshare.com

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.

• Northern Nevada Medical Group, LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1972751618
  Medicare reassignment Care Compare group NPD
• Saint Marys Medical Group Inc.

  dba Saint Mary's Medical Group

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1538424239
  Medicare reassignment NPD
• Saint Mary's Medical Group Inc

  dba Saint Mary's Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Reno, NV
  • NPI 1447635578
  NPD
• Saint Marys Urgent Care LLC

  dba Saint Mary's Urgent Care

  • Multi-Specialty Clinic/Center
  • Reno, NV
  • NPI 1275898975
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Churchill Community Hospital

  • Critical Access Hospital
  • Fallon, NV
  • NPI 1265811251
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at Damonte Ranch an Ext of Northern Nevada Medical Center

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1346934569

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at North Valleys an Extension of Northern Nevada Medical Center

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1366232993

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  Care Compare affiliation
• Sparks Family Hospital Inc

  dba Sierra Medical Center an Ext of Northern Nevada Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1609451327
  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at McCarran NW

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1689229353

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at Spanish Springs an extension of Northern Nevada Medical Center

  • Emergency Care Clinic/Center
  • Sparks, NV
  • NPI 1952049132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1306265723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY # T5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOCUST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021316",
            "telephone_number": "775-982-5270",
            "fax_number": "775-982-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "MICHAEL",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001757",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN14274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12675644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2014015653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306265723",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Postle, PA-C
• Roland Postlewait, DDS
• Marshall Postman, MD
• Samantha Chanel Barbosa Potenciano, APRN
• Curtis Robert Potts, D.C.
• Antoinette Poulson
• Linea Pouono
• Sandra M. Poupeney, LCSW, LADC
• William Bruce Povolny, M.D.
• Bhagatshan Singh Powar, RN

• Family Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.

Verify at the official NPI Registry.