Active NPI
Samantha Chanel Barbosa Potenciano, APRN
- Nurse Practitioner
- Reno, NV
National Provider Identifier
1821722943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 857646
- Practice address
- 655 Sierra Rose Dr
Reno, NV 89511-2060 - Phone
- (775) 600-4717
- Fax
- (775) 829-3757
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 857646 | NV | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 857646 | NV | |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN89299 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 857646 | NV |
Addresses
Primary practice location
655 Sierra Rose Dr
Reno, NV 89511-2060
Mailing address
6036 Barrett CT
Sparks, NV 89436-4400
Phone (926) 672-0884
Other practice location 1
1344 Disc Dr # 3082
Sparks, NV 89436-0684
Phone (775) 508-5701
Other names 1
- Samantha Chanel Barbosa De Vera
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 829-7600
Hospital & facility affiliations
- Renown Regional Medical Center
- Renown South Meadows Medical Center
- Northern Nevada Medical Center
- Saint Mary'S Regional Medical Center
- Tahoe Forest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN89299 | NV | MD | Critical Care Medicine Registered Nurse |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Reno, NV
- NPI 1689775595
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1821722943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6036 BARRETT CT",
"city": "SPARKS",
"state": "NV",
"postal_code": "894364400",
"telephone_number": "926-672-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 SIERRA ROSE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895112060",
"telephone_number": "775-600-4717",
"fax_number": "775-829-3757"
}
],
"practiceLocations": [
{
"address_1": "1344 Disc Dr # 3082",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894360684",
"country_code": "US",
"telephone_number": "775-508-5701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTENCIANO",
"first_name": "SAMANTHA CHANEL",
"middle_name": "BARBOSA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "857646",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NV",
"license": "857646",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NV",
"license": "RN89299",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "857646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA CHANEL",
"last_name": "DE VERA",
"middle_name": "BARBOSA",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.