Individual provider Active NPI

Kaiwen Jiang, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1366035750
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
832115 Issued in NV
Practice address
850 Mill St
Reno, NV 89502-1413
Phone
(775) 393-9101
Fax
(775) 403-1799
NPI assigned
Feb 16, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 AP61122835 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 832115 NV Primary

Addresses

Primary practice location

850 Mill St
Reno, NV 89502-1413

Mailing address

3245 Clover Way Apt 105
Reno, NV 89509-4703
Phone (313) 455-8308

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
I20210329001962 NV Practitioner - Nurse Practitioner 0648687103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 Mill St
Suite 100
Reno, NV 89502-1463
Phone (775) 538-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
832115NVMDPsychiatric/Mental Health Nurse Practitioner
AP61122835WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC CurrentSince Nov 21, 2023 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

5412 Boulder Hwy
Las Vegas, NV 89122

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Fl 4
Reno, NV 89502

6880 S McCarran Blvd
Ste 14
Reno, NV 89509
Phone (702) 485-2100

850 Mill St
Ste 101
Reno, NV 89502

890 Mill St
Ste 400
Reno, NV 89502
Phone (775) 722-3038

850 Mill St
Reno, NV 89502
Phone (775) 562-1115

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1366035750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 CLOVER WAY APT 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094703",
            "telephone_number": "313-455-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021413",
            "telephone_number": "775-393-9101",
            "fax_number": "775-403-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "KAIWEN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61122835",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "832115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.