Individual provider Active NPI

Benjamin Patrick Hogan, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1811298078
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1545 Issued in NV
Practice address
975 Ryland St Ste 100
Reno, NV 89502-1669
Phone
(775) 982-5000
Fax
(775) 982-5225
NPI assigned
Nov 4, 2010
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1545 NV Primary

Addresses

Primary practice location

975 Ryland St Ste 100
Reno, NV 89502-1669

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1811298078MedicaidNV
12304690OtherNVCAQH

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
I20140814002084 NV Practitioner - Physician Assistant 6002098266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

1343 Newlands Dr W
Fernley, NV 89408-8926
Phone (775) 982-5000

975 Ryland St
Suite 100
Reno, NV 89502-1669
Phone (775) 982-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1545NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Community Care Services LLC Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Hometown Health Management Company Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Hometown Health Management Company Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Hometown Health Management Company Past Accepting new patients
Provider Network, Inc PastSince Aug 4, 2014 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Reno Radiological Associates, Chartered Past Accepting new patients
Surgical Assisting Services Past Accepting new patients
Steadman Clinic Professional LLC Past Accepting new patients
Community Care Services LLC Physician Assistant Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

2814 N Carson St
Ste 101
Carson City, NV 89706

560 E Williams Ave
Fallon, NV 89406
Phone (775) 428-2022

560 W Williams Ave
Fallon, NV 89406

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

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

1075 N Hills Blvd
Ste 180
Reno, NV 89506

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

4791 Summit Ridge Dr
Reno, NV 89523
Phone (775) 624-2200

850 Harvard Way
Reno, NV 89502

960 Ambassador Dr
Ste 121
Reno, NV 89523

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

202 Los Altos Pkwy
Sparks, NV 89436

440 USA Pkwy
Ste 101
Sparks, NV 89437

910 Vista Blvd
Sparks, NV 89434
Phone (775) 982-5998

Interoperability endpoints

  • Direct secure messaging: bhogan97481@direct.renown.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1811298078",
    "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": "975 RYLAND ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021669",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "BENJAMIN",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811298078",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12304690",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.