Active NPI
Amelia Mangune
- Acute Care Nurse Practitioner
- Reno, NV
National Provider Identifier
1316656473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2022045093
- Practice address
- 880 Ryland St
Reno, NV 89502 - Phone
- (775) 329-4600
- NPI assigned
- Nov 17, 2022
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2022045093 | NV | Primary |
Addresses
Primary practice location
880 Ryland St
Reno, NV 89502
Mailing address
880 Ryland St
Reno, NV 89502-1603
Phone (775) 329-4600
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Ryland St
Reno, NV 89502-1603
Phone (775) 329-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022045093 | NV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Consultants, LTD | Current | Accepting new patients |
Locations
880 Ryland St
Reno, NV 89502
Phone (775) 329-4600
10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600
Organizations & group practices 1
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.
-
- Specialist
- Reno, NV
- NPI 1144218512
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1316656473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 RYLAND ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021603",
"telephone_number": "775-329-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 RYLAND ST",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-329-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGUNE",
"first_name": "AMELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "2022045093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.