NPIMap

Individual provider Active NPI

Patricia Ann McDonald, APN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1629142112
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000651 Issued in NV
Practice address
1055 S Wells Ave
Reno, NV 89502-2550
Phone
(775) 329-6300
Fax
(775) 348-3896
NPI assigned
Nov 17, 2006
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN000651 NV Primary

Addresses

Primary practice location

1055 S Wells Ave
Reno, NV 89502-2550

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
1629142112MedicaidNV
APN000651OtherNVSTATE BOARD OF NURSING
BW459ZOtherNVMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001245 NV Practitioner - Nurse Practitioner 7810049608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth a. Hutson M.D. LTDGroup PAC ID 8123107935, 8 clinicians

Practice addresses (Care Compare)

1441 Pullman Dr
Sparks, NV 89434-7921
Phone (775) 432-1343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000651NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth a. Hutson M.D. LTD CurrentSince Jan 15, 2024 Accepting new patients
Reno Family Physicians Jennifer Hornback MD, Etal,LTD Past Accepting new patients
Northern Nevada Medical Group, LLC PastSince Jul 3, 2011 Accepting new patients

Locations

1441 Pullman Dr
Sparks, NV 89434
Phone (775) 351-2600

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71924

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1629142112",
    "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": "1055 S WELLS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022550",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629142112",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "APN000651",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BW459Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.