NPIMap

Organization Active NPI

Regen Or

Doing business as Absolute Wellness Center

  • General Practice Physician
  • Reno, NV
National Provider Identifier
1619658028
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REGEN OR
Doing business as
Absolute Wellness Center
Absolute Wellness Center LLC
Practice address
730 Sandhill Rd Ste 120
Reno, NV 89521-8962
Phone
(775) 683-9026
Fax
(775) 683-9017
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Michelle Bresee
Title
Operations Manager
Phone
(707) 672-2974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

730 Sandhill Rd Ste 120
Reno, NV 89521-8962

Mailing address

730 Sandhill Rd Ste 120
Reno, NV 89521-8962
Phone (775) 683-9026

Other practice location 1

2286 Oakmont Way
Eugene, OR 97401-5519
Phone (541) 484-5777

Other names 2

  • ABSOLUTE WELLNESS CENTER Doing business as
  • Absolute Wellness Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908000161 OR Part B Supplier - Clinic/Group Practice 5698139731 Receives reassigned benefits from 3 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1619658028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SANDHILL RD STE 120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218962",
            "telephone_number": "775-683-9026",
            "fax_number": "775-683-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SANDHILL RD STE 120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218962",
            "telephone_number": "775-683-9026",
            "fax_number": "775-683-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2286 Oakmont Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974015519",
            "country_code": "US",
            "telephone_number": "541-484-5777",
            "fax_number": "541-286-2704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGEN OR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BRESEE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "707-672-2974"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABSOLUTE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Absolute Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.