Seana Rae Wishart-NG, APRN
Individual provider Active NPI Family Nurse Practitioner · Sparks, NV
NPI 1609494285 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1609494285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 832359 (NV)
- Practice address
- 2244 Oddie Blvd
Sparks, NV 89431-7574 - Phone
- (775) 329-6300
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Lyon Health Center Inc
Practice addresses (Care Compare)
213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301
Hospital & facility affiliations
- Centerwell Home Health
- South Lyon Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913002442 | NV | Practitioner - Nurse Practitioner | 0941606156 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 832359 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali Nairizi MD PC | Current |
Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| South Lyon Health Center, Inc. | Current |
Accepting new patients | |
| South Lyon Health Center, Inc. | Current |
Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Ali Nairizi MD PC | Current |
Accepting new patients | |
| CTH Physicians Clinic | Past | Accepting new patients | |
| True North Health Navigation LLC | Past | Accepting new patients |
Locations
5500 Reno Corporate Dr
Ste 300
Reno, NV 89511
Phone (714) 396-6128
1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300
6522 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 384-1127
2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300
213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 832359 | NV | Yes |
Addresses
Primary practice location
2244 Oddie Blvd
Sparks, NV 89431-7574
Mailing address
1140 Johnson PL
Reno, NV 89509-2378
Phone (775) 742-6533
Other providers in Sparks, NV
- Wingfield Health Care LLC
- Lea Altea Winnen
- Deanna Kay Winters
- Kyle Anthony Winton
- Lorraine Kay Wirkus
- Jacob Richard Wiskerchen Jr.
- Ulrich Wohlfahrt
- Aaron David Wolfe-Payton
- Shanti A Wolfe-Payton
- Jeanne Marie Wontkowski
All providers in Sparks, NV · Family Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.