Individual provider Active NPI

Jennie Annette Marie Verkuyl, PA-C

  • Surgical Physician Assistant
  • Reno, NV
National Provider Identifier
1619539186
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2335 Issued in NV
Practice address
75 Pringle Way Ste 804
Reno, NV 89502-8400
Phone
(775) 227-5904
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2335 NV Primary

Addresses

Primary practice location

75 Pringle Way Ste 804
Reno, NV 89502-8400

Mailing address

4175 Sleepy Hollow Dr
Reno, NV 89502-9615
Phone (775) 771-7989

Other practice location 1

18600 Wedge Pkwy
Reno, NV 89511-3036
Phone (775) 784-4843

Other names 1

  • Jennie Annette Marie Thompson Other name

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
I20201229001228 NV Practitioner - Physician Assistant 8628481280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
K Sasse Surgical Associates, Professional CorporationGroup PAC ID 4880846138, 6 clinicians

Practice addresses (Care Compare)

75 Pringle Way
Suite 804
Reno, NV 89502-8400
Phone (775) 829-7999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2335NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Surgical & Neuromodulation LLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

5500 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 900-8844

5500 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (775) 771-2804

5500 Reno Corporate Dr
Reno, NV 89511
Phone (775) 451-3673

Interoperability endpoints

  • Direct secure messaging: jennie.verkuyl@kssa.eclinicaldirectplus.com

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 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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1619539186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 SLEEPY HOLLOW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895029615",
            "telephone_number": "775-771-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 804",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028400",
            "telephone_number": "775-227-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18600 Wedge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113036",
            "country_code": "US",
            "telephone_number": "775-784-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERKUYL",
        "first_name": "JENNIE",
        "middle_name": "ANNETTE MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "THOMPSON",
            "middle_name": "ANNETTE MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.