Individual provider Active NPI

Claire Marie Faust Nichols, PA

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1386293272
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2045 Issued in NV
Practice address
299 E Plumb LN Ste 170
Reno, NV 89502-3475
Phone
(541) 520-3334
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2045 NV Primary

Addresses

Primary practice location

299 E Plumb LN Ste 170
Reno, NV 89502-3475

Mailing address

299 E Plumb LN Ste 170
Reno, NV 89502-3475
Phone (541) 520-3334

Other practice location 1

55 Damonte Ranch Pkwy
Reno, NV 89521-2996
Phone (775) 852-9304

Other names 1

  • Claire Marie Faust Former name

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
I20191018001063 NV Practitioner - Physician Assistant 5294066403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Culpepper Psychiatric Associates PLLCGroup PAC ID 0244562536, 6 clinicians

Practice addresses (Care Compare)

3108 Silver Sage Dr
Carson City, NV 89701-6189
Phone (775) 507-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2045NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada Medical Group, LLC CurrentSince Sep 30, 2019 Accepting new patients

Locations

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

5265 Vista Blvd
Bldg B
Sparks, NV 89436
Phone (775) 352-5335

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1386293272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 E PLUMB LN STE 170",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023475",
            "telephone_number": "541-520-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 E PLUMB LN STE 170",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023475",
            "telephone_number": "541-520-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Damonte Ranch Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895212996",
            "country_code": "US",
            "telephone_number": "775-852-9304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUST NICHOLS",
        "first_name": "CLAIRE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "FAUST",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.