Individual provider Active NPI

Rachael Louise Hueftle, NP

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1881857472
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001062 Issued in NV
Practice address
10791 Double R Blvd
Reno, NV 89521-8956
Phone
(775) 323-6100
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21803 CA
Nurse Practitioner 363L00000X APRN001062 NV Primary

Addresses

Primary practice location

10791 Double R Blvd
Reno, NV 89521-8956

Mailing address

3905 Waring Rd
Oceanside, CA 92056-4405
Phone (760) 724-9000

Other identifiers 1

IdentifierTypeStateIssuer
118819461OtherCACAQH

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
I20090326000521 NV Practitioner - Nurse Practitioner 2668539768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regen ProvidersGroup PAC ID 0345678322, 5 clinicians

Practice addresses (Care Compare)

730 Sandhill Rd
Suite 120
Reno, NV 89521-8962
Phone (775) 683-9026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001062NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regen Providers CurrentSince Aug 1, 2024 Accepting new patients
Michael H Song MD LTD CurrentSince May 1, 2023 Accepting new patients
Michael H Song MD LTD CurrentSince May 1, 2023 Accepting new patients

Locations

1470 Medical Pkwy
Ste 240
Carson City, NV 89703
Phone (775) 323-6100

2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100

415 US Highway 95A S
Ste E503
Fernley, NV 89408
Phone (775) 575-9922

10791 Double R Blvd
Reno, NV 89521
Phone (775) 284-2020

730 Sandhill Rd
Ste 120
Reno, NV 89521
Phone (775) 234-2361

Interoperability endpoints

  • Direct secure messaging: rhueftle@osnc2021.srs-direct.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1881857472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10791 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218956",
            "telephone_number": "775-323-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEFTLE",
        "first_name": "RACHAEL",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21803",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "118819461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.