Individual provider Active NPI

Gina Azevedo

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1609487776
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
832369 Issued in NV
Practice address
975 Ryland St Ste 100
Reno, NV 89502-1669
Phone
(775) 982-5000
Fax
(775) 982-5225
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 832369 NV Primary

Addresses

Primary practice location

975 Ryland St Ste 100
Reno, NV 89502-1669

Mailing address

1155 Mill St McM14
Reno, NV 89502
Phone (775) 982-5000

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
I20210913001393 NV Practitioner - Nurse Practitioner 1254737547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Hometown Health Management CompanyGroup PAC ID 0244139798, 184 clinicians

Practice addresses (Care Compare)

1343 Newlands Dr W
Fernley, NV 89408-8926
Phone (775) 982-5000

975 Ryland St
Suite 100
Reno, NV 89502-1669
Phone (775) 982-5000

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Homebase Care Casal PLLC CurrentSince Aug 11, 2021 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Aug 11, 2021 Accepting new patients
Yang Medical Services, PLLC CurrentSince Jan 30, 2023 Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

5412 Boulder Hwy
Las Vegas, NV 89122

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Interoperability endpoints

  • Direct secure messaging: gina.azevedo.1@30520.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1609487776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RYLAND ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021669",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "832369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.