Organization Active NPI

Visionary Surgery Center of Nevada, LLC

  • Ambulatory Surgical Clinic/Center
  • Reno, NV
National Provider Identifier
1962963728
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VISIONARY SURGERY CENTER OF NEVADA, LLC
Practice address
10463 Double R Blvd
Reno, NV 89521-5866
Phone
(775) 562-2121
Fax
(775) 322-1050
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Allison H Whitlow, RN
Title
Administrator
Phone
(775) 799-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10463 Double R Blvd
Reno, NV 89521-5866

Mailing address

10463 Double R Blvd Ste 200
Reno, NV 89521-8922
Phone (775) 562-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801000568 NV Part B Supplier - Ambulatory Surgical Center 2567798366 Practice locations: Reno, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Visionary Surgery Center of NevadaCCN 29C0001127
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2170240Visionary Surgery Center of Nevada LLC10463 Double R Blvd Ste 200, Reno, NV 89521Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1962963728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 DOUBLE R BLVD STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218922",
            "telephone_number": "775-562-2121",
            "fax_number": "775-322-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215866",
            "telephone_number": "775-562-2121",
            "fax_number": "775-322-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY SURGERY CENTER OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-799-2200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.