Individual provider Active NPI

Anthony Mark Punchard, APRN-CNP

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1942074448
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
871825 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(352) 283-1391
NPI assigned
Nov 14, 2023
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 871825 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

PO Box 7055
Reno, NV 89510-7055
Phone (352) 283-1391

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
I20240415001188 NV Practitioner - Nurse Practitioner 8123467826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
871825NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Radiological Associates, Chartered CurrentSince Feb 28, 2024 Accepting new patients
Community Care Services LLC CurrentSince May 1, 2025 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince May 1, 2025 Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

75 Pringle Way
Reno, NV 89502
Phone (775) 327-4673

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

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1942074448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7055",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895107055",
            "telephone_number": "352-283-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "352-283-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNCHARD",
        "first_name": "ANTHONY",
        "middle_name": "MARK",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "871825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.