Individual provider Active NPI

Jason Jerome Kattenhorn

  • Acute Care Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1386358224
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
856504 Issued in NV
Practice address
1385 Vista LN
Carson City, NV 89703-4643
Phone
(775) 884-4567
NPI assigned
Jan 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 856504 NV Primary

Addresses

Primary practice location

1385 Vista LN
Carson City, NV 89703-4643

Mailing address

7310 Lingfield Dr
Reno, NV 89502-8683
Phone (775) 315-9771

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
I20230817003966 NV Practitioner - Nurse Practitioner 3870955149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Carson City Gastroenterology, LTDGroup PAC ID 8022474329, 12 clinicians

Practice addresses (Care Compare)

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
85.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Carson City Gastroenterology LTD CurrentSince Jun 12, 2023 Accepting new patients

Locations

1385 Vista Ln
Carson City, NV 89703
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.

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1386358224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 LINGFIELD DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028683",
            "telephone_number": "775-315-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-884-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTENHORN",
        "first_name": "JASON",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "856504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.