Individual provider Active NPI

Marie Juliette Budesa, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1750563946
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27161 Issued in NV
Practice address
1075 N Hills Blvd Ste 180
Reno, NV 89506-6799
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27161 NV Primary

Addresses

Primary practice location

1075 N Hills Blvd Ste 180
Reno, NV 89506-6799

Mailing address

1155 Mill St # Msm14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101014000844 OR Practitioner - Family Practice 8224169487 Reassigns benefits to 2 organizations
I20250523000942 NV Practitioner - Family Practice 8224169487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians

Practice addresses (Care Compare)

1075 N Hills Blvd
Suite 180
Reno, NV 89506-6799
Phone (775) 982-5000

440 E Golden Valley Rd
Reno, NV 89506-5722
Phone (775) 360-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27161NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC Family Medicine CurrentSince Sep 27, 2010 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Mar 24, 2025 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Sep 10, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 27, 2010 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Sep 10, 2020 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Mar 24, 2025 Accepting new patients

Locations

1075 N Hills Blvd
Ste 180
Reno, NV 89506

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

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

1155 Mill St
#14
Reno, NV 89502

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

36860 Industrial Way
Sandy, OR 97055
Phone (503) 668-4117

Interoperability endpoints

  • Direct secure messaging: mbudesa212979@direct.renown.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1750563946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MSM14",
            "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": "1075 N HILLS BLVD STE 180",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895066799",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDESA",
        "first_name": "MARIE",
        "middle_name": "JULIETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "27161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.