Active NPI
Jose Antonio Mari Acevedo, MD
- Neurology Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 17901
- Practice address
- 75 Pringle Way Ste 401
Reno, NV 89502 - Phone
- (775) 982-5000
- Fax
- (775) 982-2973
- NPI assigned
- Apr 26, 2013
- Last updated
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A174349 | CA | |
| Neurology Physician | 2084N0400X | 8181206 | ID | |
| Neurology Physician | 2084N0400X | ME130183 | FL | |
| Neurology Physician | 2084N0400X | 17901 | NV | Primary |
| Neurology Physician | 2084N0400X | 036162418 | IL | |
| Epilepsy Physician | 2084E0001X | 2025038983 | MO | |
| Epilepsy Physician | 2084E0001X | 0451815 | KS |
Addresses
Primary practice location
75 Pringle Way Ste 401
Reno, NV 89502
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other practice location 1
421 N 9th St
Springfield, IL 62702-5317
Phone (217) 757-6868
Other practice location 2
4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342
Phone (816) 960-7600
Other practice location 3
700 W Ironwood Dr Ste 158
Coeur D Alene, ID 83814-4404
Phone (208) 625-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17901 | Other | NV | NEVADA STATE BOARD OF MEDICAL EXAMINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmariacevedo954641@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, AR, IL, MT, ND, KS, MO, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Billings Clinic
Practice addresses (Care Compare)
10465 Mott CT
Reno, NV 89521-3181
Phone (406) 238-2500
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
700 W Ironwood Dr
Suite 158
Coeur D Alene, ID 83814-4404
Phone (208) 625-5100
801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0451815 | KS | MD | Epilepsy Physician |
| 2025038983 | MO | MD | Epilepsy Physician |
| A174349 | CA | MD | Neurology Physician |
| ME130183 | FL | MD | Neurology Physician |
| 8181206 | ID | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Neurology | Current | Accepting new patients |
| Saint Luke's Physician Group Inc | Neurology | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Saint Agnes Medical Center | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| LQMG Medical Group Inc. | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Saint Agnes Medical Foundation | Current | Accepting new patients | |
| Trinity Home Health Services | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Billings Clinic | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Little Rock, AR 72211
Phone (501) 812-7587
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9600 Baptist Health Dr
Ste 320
Little Rock, AR 72205
9601 Baptist Health Dr
Ste 250
Little Rock, AR 72205
Phone (501) 217-4910
1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
4400 Broadway Blvd
Ste 520
Kansas City, MO 64111
Phone (816) 531-4080
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
5844 NW Barry Rd
Ste 230
Kansas City, MO 64154
Phone (816) 532-3700
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Interoperability endpoints
- jmariacevedo136015@direct.renown.org
- jmariacevedo954641@direct.multicare.org
Organizations & group practices 18
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Neurology
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
-
dba Baptist Health Neurology Outpatient Clinic
- Neurology Physician
- Little Rock, AR
- NPI 1033471453
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
dba Billings Clinic Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1124310537
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
dba Billings Clinic Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Billings, MT
- NPI 1003953589
Hospital
-
dba Billings Clinic Heights
- Family Medicine Physician
- Billings, MT
- NPI 1033164447
Hospital
-
dba Billings Clinic Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1124310537
Hospital
-
dba Billings Clinic Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
dba Billings Clinic Bozeman
- Internal Medicine Physician
- Bozeman, MT
- NPI 1265648455
Hospital
-
dba Billings Clinic West
- Internal Medicine Physician
- Billings, MT
- NPI 1871548289
Hospital
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1952745440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY STE 401",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-982-5000",
"fax_number": "775-982-2973"
}
],
"practiceLocations": [
{
"address_1": "421 N 9th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025317",
"country_code": "US",
"telephone_number": "217-757-6868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 Broadway Blvd Ste 520",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641113342",
"country_code": "US",
"telephone_number": "816-960-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 W Ironwood Dr Ste 158",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838144404",
"country_code": "US",
"telephone_number": "208-625-5100",
"fax_number": "208-625-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARI ACEVEDO",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-26",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A174349",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ID",
"license": "8181206",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME130183",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "17901",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036162418",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "MO",
"license": "2025038983",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "KS",
"license": "0451815",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF MEDICAL EXAMINERS",
"identifier": "17901",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmariacevedo954641@direct.multicare.org",
"affiliation": "N",
"address_1": "700 W Ironwood Dr Ste 158",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838144404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.