Individual provider Active NPI

Lisa Marie Carnes, FNP-C

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1649928243
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
852109 Issued in NV
Practice address
2565 Rio Rico CT
Reno, NV 89523-6213
Phone
(775) 379-3937
NPI assigned
Mar 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 852109 NV Primary

Addresses

Primary practice location

2565 Rio Rico CT
Reno, NV 89523-6213

Mailing address

2565 Rio Rico CT
Reno, NV 89523-6213
Phone (775) 379-3937

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
I20220913002881 NV Practitioner - Nurse Practitioner 8022493931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph E Johnson MD and Assoc LTDGroup PAC ID 4981683976, 5 clinicians

Practice addresses (Care Compare)

3160 Vista Blvd
Sparks, NV 89436-6703
Phone 7753527200100

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852109NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Johnson MD & Assoc LTD Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Jay C. Chamberlain, M.D., Inc. Single Specialty PastSince Sep 1, 2022 Accepting new patients

Locations

3160 Vista Blvd
Sparks, NV 89436
Phone (775) 352-7200

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 8

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": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1649928243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 RIO RICO CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895236213",
            "telephone_number": "775-379-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 RIO RICO CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895236213",
            "telephone_number": "775-379-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "852109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.