Active NPI
Jack James Pratt
- Acute Care Nurse Practitioner
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 839439
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-5000
- Fax
- (775) 982-3900
- NPI assigned
- May 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 839439 | NV | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 839439 | NV | |
| Gerontology Nurse Practitioner | 363LG0600X | 839439 | NV | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 839439 | NV |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
1155 Mill St
Ms M-14
Reno, NV 89502-1576
Phone (775) 982-5262
Other practice location 1
10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-5000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231026003860 | NV | Practitioner - Nurse Practitioner | 8123474194 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Services LLC
Practice addresses (Care Compare)
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000
Hospital & facility affiliations
- Renown Regional Medical Center
- Renown South Meadows Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients |
Locations
1495 Mill St
Reno, NV 89502
Phone (775) 982-3500
1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970
1155 Mill St
Reno, NV 89502
Phone (775) 982-7878
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
Interoperability endpoints
- jpratt168456@direct.renown.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Cardiac Rehabilitation Clinic/Center
- Reno, NV
- NPI 1295180735
-
- Anesthesiology Physician
- Reno, NV
- NPI 1386023935
-
- Neurology Physician
- Reno, NV
- NPI 1508337031
Hospital & facility affiliations 3
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": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1679263271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"address_2": "MS M-14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [
{
"address_1": "10101 Double R Blvd",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895215931",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATT",
"first_name": "JACK",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-09",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "839439",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NV",
"license": "839439",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "839439",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NV",
"license": "839439",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.