Active NPI
Jessica A Diefenbach, NP
- Nurse Practitioner
- Sparks, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 879400
- Practice address
- PO Box 50003
Sparks, NV 89435-0003 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Jun 5, 2020
- Last updated
- Apr 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 879400 | NV | Primary |
Addresses
Primary practice location
PO Box 50003
Sparks, NV 89435-0003
Mailing address
PO Box 2550
Rowlett, TX 75030-2550
Phone (214) 227-2457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrium Surgical Assistant Services, LLC | Registered Nurse First Assistant | Current | Accepting new patients |
| Northern Arizona Surgical Assisting LLC | Registered Nurse First Assistant | Current | Accepting new patients |
| LHCG Cxxxxiv, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1155 Mill St
Reno, NV 89502
Phone (775) 982-7878
6490 S McCarran Blvd
Ste B13
Reno, NV 89509
Phone (775) 525-6700
9450 Double R Blvd
Ste 100
Reno, NV 89521
Phone (775) 525-6700
Interoperability endpoints
- jdiefenbach745491@direct.med.utah.edu
Organizations & group practices 3
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.
-
- Registered Nurse First Assistant
- Sparks, NV
- NPI 1154850097
-
- Nurse Practitioner
- Flagstaff, AZ
- NPI 1568086437
Registered Nurse First Assistant
-
dba Saint Mary's Hospice of Northern Nevada
- Community Based Hospice Care Agency
- Reno, NV
- NPI 1811482821
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1861016735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2550",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750302550",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 50003",
"city": "SPARKS",
"state": "NV",
"postal_code": "894350003",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEFENBACH",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-05",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "879400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
- Diane M Thomas M D P C
- Diane M. Schaub Birth Cottage
- Sucelly Melissa Diaz Erazo
- Tracy Jeannette Dickerson, B.A
- Jane Berrier Diedrichsen, M.D.
- Katie Dilibero
- Dimensions Management of Northern Nevada, LLC (Northern Nevada State Veterans Home)
- Walter L Dimitroff Jr., MFT
- Pei Ding, RPH
- Debra J Dinnell, OTRLCHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.