NPIMap

Individual provider Active NPI

Jennifer A Unruh, APRN

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1992138721
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001591NV Issued in NV
Practice address
5070 Ion Dr Ste 200
Sparks, NV 89436-1654
Phone
(775) 352-5335
Fax
(775) 352-5334
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001591NV NV Primary

Addresses

Primary practice location

5070 Ion Dr Ste 200
Sparks, NV 89436-1654

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (775) 352-5335

Other identifiers 2

IdentifierTypeStateIssuer
APRN001591OtherNVNEVADA BOARD OF NURSING
1992138721MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000363 NV Practitioner - Nurse Practitioner 5294964615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians
Nevada Urgent Care Network LLCGroup PAC ID 0941611636, 15 clinicians

Practice addresses (Care Compare)

2385 E Prater Way
Suite 205
Sparks, NV 89434-9688
Phone (775) 356-4888

5265 Vista Blvd
BLDG B
Sparks, NV 89436-0836
Phone (775) 352-5335

5575 Kietzke LN
Reno, NV 89511-2290
Phone (775) 502-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001591NVNVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Urgent Care Network LLC CurrentSince Mar 1, 2023 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

5575 Kietzke Ln
Reno, NV 89511
Phone (775) 355-5010

5265 Vista Blvd
Bldg B
Sparks, NV 89436
Phone (775) 352-5335

Interoperability endpoints

  • Direct secure messaging: unruhje@yourcarecommunity.org

Organizations & group practices 3

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 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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1992138721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "775-352-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 ION DR STE 200",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894361654",
            "telephone_number": "775-352-5335",
            "fax_number": "775-352-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001591NV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF NURSING",
            "identifier": "APRN001591",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992138721",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.