Individual provider Active NPI

Pearla P McDonald, NP

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1689812638
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002410 Issued in NV
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

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326002389 NV Practitioner - Nurse Practitioner 8224193826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704231513MIMDFamily Nurse Practitioner
APRN002410NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Pain Management, P.C. CurrentSince Jan 9, 2019 Accepting new patients

Locations

6548 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 323-5458

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.