Individual provider Active NPI

Nina Patynowski

  • Family Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1437563152
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001746 Issued in NV
Practice address
415 W Sofia St
Ste 100
Carson City, NV 89703
Phone
(775) 841-5530
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001746 NV Primary

Addresses

Primary practice location

415 W Sofia St
Ste 100
Carson City, NV 89703

Mailing address

535 Cortono Dr
Reno, NV 89521-4293
Phone (775) 857-9793

Other practice location 1

5437 Kietzke Ln
Reno, NV 89511-1088
Phone (775) 322-4550

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
I20140729002588 NV Practitioner - Nurse Practitioner 3577789437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 322-4550

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001746NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneill Clark Narvarte & Vicks a Professional Corporation CurrentSince Jul 1, 2023 Accepting new patients
Complete Family Care LTD PastSince Aug 11, 2014 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

2340 S Carson St
Ste A
Carson City, NV 89701

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

1103 New River Pkwy
Fallon, NV 89406
Phone (775) 428-2077

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

5437 Kietzke Ln
Reno, NV 89511
Phone (775) 784-3319

2345 E Prater Way
Ste 102
Sparks, NV 89434
Phone (775) 825-2777

Interoperability endpoints

  • Direct secure messaging: npatynowski421835@direct.med.utah.edu

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.

Hospital & facility affiliations 6

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1437563152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CORTONO DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214293",
            "telephone_number": "775-857-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W SOFIA ST",
            "address_2": "STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "775-841-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5437 Kietzke Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895111088",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATYNOWSKI",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.