Individual provider Active NPI

Earlene M Forsythe, APRN, APH

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1942015698
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00426 Issued in NV
Practice address
521 Hammill LN
Reno, NV 89511-1004
Phone
(775) 827-0707
Fax
(775) 827-1006
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 APRN00426 NV Primary

Addresses

Primary practice location

521 Hammill LN
Reno, NV 89511-1004

Mailing address

521 Hammill LN
Reno, NV 89511-1004
Phone (775) 827-0707

Other names 1

  • Ms. Earlene M Marion Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 1, 2025 through Mar 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN00426NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James W Forsythe Nurse Practitioner PastSince Feb 23, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1942015698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-827-0707",
            "fax_number": "775-827-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-827-0707",
            "fax_number": "775-827-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "EARLENE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN, APH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN00426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARLENE",
            "last_name": "MARION",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "APRD, APH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.