Individual provider Active NPI

Jose Antonio Mari Acevedo, MD

  • Neurology Physician
  • Reno, NV
National Provider Identifier
1952745440
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17901 Issued in NV
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17901OtherNVNEVADA STATE BOARD OF MEDICAL EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
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, ID9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20180815003229 NV Practitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20220203002489 CA Practitioner - Neurology 1850521543 Reassigns benefits to 3 organizations
I20220203002722 AR Practitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20221116001128 IL Practitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20230120001630 MT Practitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20241004003003 ND Practitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20251113000872 KS Practitioner - EpileptologistsPractitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20251113001083 MO Practitioner - EpileptologistsPractitioner - Neurology 1850521543 Reassigns benefits to 1 organization
I20260521001897 ID Practitioner - Neurology 1850521543 Reassigns benefits to 1 organization

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 ClinicGroup PAC ID 6002993516, shared by 7 NPIs, 814 clinicians
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

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

LicenseStateTypeSpecialty
0451815KSMDEpilepsy Physician
2025038983MOMDEpilepsy Physician
A174349CAMDNeurology Physician
ME130183FLMDNeurology Physician
8181206IDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Neurology CurrentSince Jan 31, 2022 Accepting new patients
Saint Luke's Physician Group Inc Neurology CurrentSince Sep 8, 2025 Accepting new patients
Billings Clinic CurrentSince Oct 18, 2022 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Saint Agnes Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 23, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Oct 18, 2022 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Enloe Medical Center CurrentSince Jun 21, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 23, 2024 Accepting new patients
Saint Agnes Medical Foundation CurrentSince Jan 1, 2022 Accepting new patients
Trinity Home Health Services CurrentSince Jul 1, 2022 Accepting new patients
Springfield Clinic, LLP CurrentSince Feb 1, 2023 Accepting new patients
Enloe Medical Center CurrentSince Jun 21, 2025 Accepting new patients
Arkansas Health Group CurrentSince Jan 31, 2022 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

  • Direct secure messaging: jmariacevedo136015@direct.renown.org
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 14

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

View all 14

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

Verify at the official NPI Registry.