Individual provider Active NPI

Karen Wagner, APRN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1720461882
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001994 Issued in NV
Practice address
15 McCabe Dr
Ste 100
Reno, NV 89511-5924
Phone
(775) 982-5000
Fax
(775) 982-2879
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001994 NV Primary

Addresses

Primary practice location

15 McCabe Dr
Ste 100
Reno, NV 89511-5924

Mailing address

850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262

Other practice location 1

21 Locust St
Reno, NV 89502-1316
Phone (775) 982-5000

Other identifiers 1

IdentifierTypeStateIssuer
13581525OtherCAQH

Other names 1

  • Karen Morgan Former name

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
I20150923001697 NV Practitioner - Nurse Practitioner 2769799790 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001994NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Aug 24, 2015 Accepting new patients
Community Care Services LLC Nurse Practitioner CurrentSince Aug 24, 2015 Accepting new patients
Community Care Services LLC Past Accepting new patients
Community Care Services LLC Nurse Practitioner Past Accepting new patients

Locations

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

850 Harvard Way
Reno, NV 89502

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

15 McCabe Dr
Ste 100
Reno, NV 89511

10581 Double R Blvd
Reno, NV 89521
Phone (775) 324-0766

21 Locust St
Reno, NV 89502
Phone (775) 982-5270

Interoperability endpoints

  • Direct secure messaging: kwagner102138@direct.renown.org

Organizations & group practices 4

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720461882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR",
            "address_2": "STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115924",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-2879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Locust St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021316",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13581525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.