NPIMap

Organization Active NPI

Northeastern Nevada Physician Practices LLC

  • Internal Medicine Physician
  • Elko, NV
National Provider Identifier
1457599458
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHEASTERN NEVADA PHYSICIAN PRACTICES LLC
Practice address
2001 Errecart Blvd
Elko, NV 89801-8333
Phone
(775) 738-8660
Fax
(775) 738-6661
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2001 Errecart Blvd
Elko, NV 89801-8333

Mailing address

1995 Errecart Blvd
Suite 203
Elko, NV 89801-8334
Phone (775) 777-2061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000555 NV Part B Supplier - Clinic/Group Practice 3779649223 Receives reassigned benefits from 47 practitioners
1 other NPI on this enrollment
Practice locations: Elko, NV

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1995 Errecart Blvd
Ste 207
Elko, NV 89801
Phone (775) 234-5883

1995 Errecart Blvd
Ste 110
Elko, NV 89801
Phone (775) 738-8877

1995 Errecart Blvd
Ste 222
Elko, NV 89801

801 E Williams Ave
Ste 3306
Fallon, NV 89406
Phone (775) 428-2633

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1457599458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 203",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018334",
            "telephone_number": "775-777-2061",
            "fax_number": "775-777-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-738-8660",
            "fax_number": "775-738-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN NEVADA PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.