NPIMap

Organization Active NPI

Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

Doing business as Carson Valley Health

  • Critical Access Hospital
  • Gardnerville, NV
National Provider Identifier
1396799102
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION
Doing business as
Carson Valley Health
Carson Valley Medical Center
Practice address
1107 Hwy 395
Gardnerville, NV 89410
Phone
(775) 782-1500
Fax
(775) 782-1555
NPI assigned
May 19, 2006
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Ms. Shannon K Rogers
Title
Ceo
Phone
(775) 782-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NV
Critical Access Hospital 282NC0060X NV Primary

Addresses

Primary practice location

1107 Hwy 395
Gardnerville, NV 89410

Mailing address

1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone (775) 782-1500

Other identifiers 5

IdentifierTypeStateIssuer
100506873MedicaidNV
XH5P43645OtherCAIN PATIENT
100502479OtherNVOUT PATIENT
XH5P33645OtherCAOUT PATIENT
100502477MedicaidNV

Other names 2

  • Carson Valley Health Doing business as
  • Carson Valley Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000237 NV Part A Provider - Critical Access Hospital 7214835149 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
Practice locations: Gardnerville, NV
O20061127000164 NV Part B Supplier - Clinic/Group Practice 7214835149 Receives reassigned benefits from 66 practitioners
3 other NPIs on this enrollment
Practice locations: Gardnerville, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396799102. Details of each certification follow.

Hospital certification: CCN 291306

Legal name
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION
Doing business as
CARSON VALLEY HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2004
Last certification
Jul 10, 2025
Beds
25 (15 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 13, 1998 in NV
Enrollment address
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Carson Valley HealthCCN 291306 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1520 Virginia Ranch Rd
Bldg B
Gardnerville, NV 89410
Phone (775) 364-1400

1520 Virginia Ranch Rd
Ste 1
Gardnerville, NV 89410
Phone (775) 364-1400

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gina Zink Individual W-2 Managing EmployeeDirector of Clinics Jan 8, 2008
Paul J Fry Individual Corporate DirectorBoard Member Jan 1, 2016
Barton Healthcare System Organization, South Lake Tahoe, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2000 100%
Jeffrey Rahbeck Individual Corporate DirectorBoard Member Jan 26, 2026
Kelly Neiger Individual Corporate Director Jan 1, 2020
Clinton D Purvance Individual Corporate Director Apr 2, 2008
Shannon Rogers Individual Corporate OfficerCeo Apr 9, 2026
Corporate DirectorCeo Apr 9, 2026
W-2 Managing Employee Apr 9, 2026
Colleen Reid Individual Corporate OfficerCfo Nov 26, 2018

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carson Valley Health Primary Care Topaz RanchWellington, NV, CCN 293985 Rural health clinic Operational/Managerial Control (100%) Jun 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 150

Affiliated clinicians 405

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 405

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1396799102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HWY 395",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "775-782-1500",
            "fax_number": "775-782-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-782-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506873",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN PATIENT",
            "identifier": "XH5P43645",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT PATIENT",
            "identifier": "100502479",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT PATIENT",
            "identifier": "XH5P33645",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502477",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Valley Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carson Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.