Individual provider Active NPI

Marisa Rachael Traversie, APRN

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1477108124
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
823449 Issued in NV
Practice address
910 Vista Boulevard
Sparks, NV 89502
Phone
(775) 982-5000
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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 823449 NV Primary

Addresses

Primary practice location

910 Vista Boulevard
Sparks, NV 89502

Mailing address

850 Harvard Way # T5
Reno, NV 89502-2055
Phone (775) 982-5262

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
I20191114001913 NV Practitioner - Nurse Practitioner 4284066184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 Vista Blvd
Sparks, NV 89434-6501
Phone (775) 982-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Health Management Company CurrentSince Nov 1, 2019 Accepting new patients
Hometown Health Management Company Current Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

850 Harvard Way
#T5
Reno, NV 89502

910 Vista Blvd
Sparks, NV 89434
Phone (775) 982-5997

Interoperability endpoints

  • Direct secure messaging: mtraversie5282@direct.renown.org

Organizations & group practices 2

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 4

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1477108124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY # T5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VISTA BOULEVARD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-982-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSIE",
        "first_name": "MARISA",
        "middle_name": "RACHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "823449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.