Individual provider Active NPI

Theresa Nicole Rolniak, APRN

  • Family Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1952146672
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
839860 Issued in NV
Practice address
1385 Vista LN
Carson City, NV 89703-4643
Phone
(775) 884-4567
Fax
(775) 884-4569
NPI assigned
Jun 25, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 839860 NV Primary

Addresses

Primary practice location

1385 Vista LN
Carson City, NV 89703-4643

Mailing address

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

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
I20240805001783 NV Practitioner - Nurse Practitioner 2860939162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Carson City Gastroenterology, LTDGroup PAC ID 8022474329, 12 clinicians

Practice addresses (Care Compare)

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
839860NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Carson City Gastroenterology LTD CurrentSince Jul 17, 2024 Accepting new patients

Locations

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1952146672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-884-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-884-4567",
            "fax_number": "775-884-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLNIAK",
        "first_name": "THERESA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "839860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.