Individual provider Active NPI

Ashley Vazeen

  • Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1952785701
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001953 Issued in NV
Practice address
1375 Vista LN
Carson City, NV 89703-4643
Phone
(775) 882-2067
Fax
(775) 882-3706
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001953 NV Primary

Addresses

Primary practice location

1375 Vista LN
Carson City, NV 89703-4643

Mailing address

1375 Vista LN
Carson City, NV 89703-4643
Phone (775) 882-2067

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
I20151215001166 NV Practitioner - Nurse Practitioner 2062728306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Center for DermatologyGroup PAC ID 7810976891, 4 clinicians

Practice addresses (Care Compare)

650 Sierra Rose Dr
Suite a
Reno, NV 89511-2081
Phone (775) 827-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.99 of 100Reported as group
Quality
44.64
Improvement activities
40
Cost
73.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN001953NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Center for Dermatology CurrentSince Aug 21, 2017 Accepting new patients

Locations

650 Sierra Rose Dr
Ste A
Reno, NV 89511
Phone (775) 827-8100

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1952785701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-882-2067",
            "fax_number": "775-882-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-882-2067",
            "fax_number": "775-882-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZEEN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.