Ida Marie Redican, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

848652 Issued in NV

Practice address

897 Ironwood Dr Ste B
Minden, NV 89423-5198

Phone

(775) 782-1610

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as apm

Quality

81.42

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.42 of 100Reported as group

Quality

93.48

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1720714850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 COURT SIDE CIR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897037362",
            "telephone_number": "775-671-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 IRONWOOD DR STE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235198",
            "telephone_number": "775-782-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDICAN",
        "first_name": "IDA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "848652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlo Preston
• Pritchett Eye Care
• Rachel Arvella Pryde, LCSW
• Katherine Lindsey Ray, MSW, ACSW
• Vernon Read
• Danielle Reel
• Katherine Replogle, P.T.
• Dewayne Rey
• Andrew Riha
• Dustin L Riley, MD

• Nurse Practitioner in Minden, NV
• Providers in Minden, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.