Michelle D Tavener, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN000957 Issued in NV

Practice address

5437 Kietzke LN
Reno, NV 89511-1088

Phone

(775) 322-4550

Fax

(755) 322-4956

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oneill Clark Narvarte and Vicks a Professional CorporationGroup PAC ID 2668448531, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008
• Battle Mountain General Hospital Hospital, Batte MTN, NV, CCN 291303
• Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308
• Plumas District Hospital Hospital, Quincy, CA, CCN 051326

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Oneill Clark Narvarte & Vicks a Professional Corporation

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1962501940

  CA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Keith Mark Gross MD Inc

  • Dermatology Physician
  • Victorville, CA
  • NPI 1871658278
  NPD (past)

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

• Battle Mountain General Hospital

  • Critical Access Hospital
  • Battle Mountain, NV
  • NPI 1245312321
  Care Compare affiliation
• Battle Mountain General Hospital

  • Land Ambulance
  • Battle Mountain, NV
  • NPI 1326308644

  Hospital

  Care Compare affiliation
• Battle Mountain General Hospital

  • Critical Access Hospital
  • Battle Mountain, NV
  • NPI 1487729083
  Care Compare affiliation
• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010
  Care Compare affiliation
• PHC-Elko Inc

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Plumas District Hospital

  • Critical Access Hospital
  • Quincy, CA
  • NPI 1326094269
  Care Compare affiliation

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1962689406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "755-322-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Errecart Blvd",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898018346",
            "country_code": "US",
            "telephone_number": "755-322-4550",
            "fax_number": "755-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Mizpah St",
            "address_purpose": "LOCATION",
            "city": "Winnemucca",
            "state": "NV",
            "postal_code": "894453252",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "755-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVENER",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN000957",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN000957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12200330",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Rochelle Tau
• Christy Taufaasau
• Ozzie L Tavares
• Tavcar & Oneal Nutrition Solutions, LLC
• Shauna Tavcar, RD, LDN
• Laura Tavizon
• Tay Legarza Shuff PC
• Angelique Sao Mai Sy Tay, MD
• Jonathan Tay, MD
• Michael K Tay, MD

• Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.

Verify at the official NPI Registry.