Individual provider Active NPI

Marissa Squire, APRN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1780457937
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
871239 Issued in NV
Practice address
5000 Smithridge Dr Ste A9
Reno, NV 89502-5648
Phone
(775) 322-5587
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 871239 NV Primary

Addresses

Primary practice location

5000 Smithridge Dr Ste A9
Reno, NV 89502-5648

Mailing address

5000 Smithridge Dr Ste A9
Reno, NV 89502-5648
Phone (775) 557-4900

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
I20240219001237 NV Practitioner - Nurse Practitioner 9436593464 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
871239NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meliorem Sleep Services CurrentSince Dec 16, 2023 Accepting new patients
Evensen & Trippi PLLC Past Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

875 Roberta Ln
Ste 103B
Sparks, NV 89431
Phone (775) 557-4900

2115 Green Vista Dr
Ste 101
Sparks, NV 89431
Phone (775) 359-2111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20290/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1780457937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SMITHRIDGE DR STE A9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025648",
            "telephone_number": "775-557-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SMITHRIDGE DR STE A9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025648",
            "telephone_number": "775-322-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "MARISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "871239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.