Individual provider Active NPI

Marie Gracia Bare, NP-C

  • Primary Care Nurse Practitioner
  • Reno, NV
National Provider Identifier
1609556406
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
831527 Issued in NV
Practice address
330 Crampton St
Reno, NV 89502-2480
Phone
(775) 329-6300
Fax
(775) 348-3896
NPI assigned
Jul 18, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 831527 NV Primary

Addresses

Primary practice location

330 Crampton St
Reno, NV 89502-2480

Mailing address

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 1

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

Other practice location 2

280 Vista Knoll Pkwy Ste 107
Reno, NV 89506-5649
Phone (775) 329-6300

Other practice location 3

5055 Sun Valley Blvd Ste 100
Sun Valley, NV 89433-8296
Phone (775) 329-6300

Other practice location 4

2244 Oddie Blvd
Sparks, NV 89431-7574
Phone (775) 329-6300

Other practice location 5

3915 Neil Rd
Reno, NV 89502-6808
Phone (775) 329-6300

Other practice location 6

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

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
I20231206004304 NV Practitioner - Nurse Practitioner 2365891090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AllianceGroup PAC ID 3577540160, 53 clinicians

Practice addresses (Care Compare)

330 Crampton St
Reno, NV 89502-2480
Phone (775) 329-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance Current Accepting new patients
Community Health Alliance CurrentSince Nov 27, 2023 Accepting new patients
Community Health Alliance CurrentSince Nov 27, 2023 Accepting new patients
Community Health Alliance Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Community Health Alliance Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 336-3035

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1609556406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CRAMPTON ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022480",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 S Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022550",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Vista Knoll Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895065649",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 Sun Valley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "NV",
            "postal_code": "894338296",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2244 Oddie Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894317574",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Neil Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026808",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024113",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARE",
        "first_name": "MARIE",
        "middle_name": "GRACIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "831527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.