Individual provider Active NPI

Jennifer K. Hornback, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1952497950
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9964 Issued in NV
Practice address
7111 S Virginia St
Reno, NV 89511-1115
Phone
(775) 851-5700
Fax
(775) 851-5710
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9964 NV Primary

Addresses

Primary practice location

7111 S Virginia St
Reno, NV 89511-1115

Mailing address

7111 S Virginia St
Reno, NV 89511-1115
Phone (775) 851-5700

Other identifiers 1

IdentifierTypeStateIssuer
2016901MedicaidNV

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000288 NV Practitioner - Family Practice 8022106632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Family Physicians Jennifer Hornback MD Et Al LTDGroup PAC ID 3476570433, 3 clinicians

Practice addresses (Care Compare)

7111 S Virginia St
Reno, NV 89511-1183
Phone (775) 851-5700

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Saint Marys Home Care Services Home health agency, Reno, NV, CCN 297008
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Family Physicians Jennifer Hornback MD, Etal,LTD Family Medicine CurrentSince Sep 10, 2001 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

7111 S Virginia St
Ste A7
Reno, NV 89511
Phone (775) 851-5700

7111 S Virginia St
Ste A8
Reno, NV 89511
Phone (775) 851-5700

7111 S Virginia St
Reno, NV 89511
Phone (775) 851-5700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71924
  • Direct secure messaging: jennifer.hornback@rfp.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1952497950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 S VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111115",
            "telephone_number": "775-851-5700",
            "fax_number": "775-851-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 S VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111115",
            "telephone_number": "775-851-5700",
            "fax_number": "775-851-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACK",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016901",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.