Active NPI
Pearla P McDonald, NP
- Family Nurse Practitioner
- Reno, NV
National Provider Identifier
1689812638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002410
- Practice address
- 6548 S McCarran Blvd
Reno, NV 89509-6164 - Phone
- (775) 336-1256
- Fax
- (775) 336-6410
- NPI assigned
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704231513 | MI | |
| Family Nurse Practitioner | 363LF0000X | APRN002410 | NV | Primary |
Addresses
Primary practice location
6548 S McCarran Blvd
Reno, NV 89509-6164
Mailing address
6548 S McCarran Blvd Ste a
Reno, NV 89509-6150
Phone (775) 336-1256
Other practice location 1
800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704231513 | MI | MD | Family Nurse Practitioner |
| APRN002410 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thunder Pain Management, P.C. | Current | Accepting new patients |
Locations
6548 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 323-5458
Interoperability endpoints
- thunderpainmanagement.pearlamcdonald@139116.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- Reno, NV
- NPI 1497144828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1689812638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6548 S MCCARRAN BLVD STE A",
"city": "RENO",
"state": "NV",
"postal_code": "895096150",
"telephone_number": "775-336-1256",
"fax_number": "775-336-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6548 S MCCARRAN BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895096164",
"telephone_number": "775-336-1256",
"fax_number": "775-336-6410"
}
],
"practiceLocations": [
{
"address_1": "800 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486012551",
"country_code": "US",
"telephone_number": "989-907-8200",
"fax_number": "989-907-8297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "PEARLA",
"middle_name": "P",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704231513",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002410",
"primary": true
}
],
"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 Jan 16, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.