Unknown Individual – Adult Health Nurse Practitioner, NPI 1164408647
Adult Health Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Kuenzli Street, Reno, Washoe County, Nevada, 89505, United States
RENO, NV 895020837
Phone: (775) 982-5966
Fax: (775) 982-5496
Type: Mailing
2005, Sierra Highlands Drive, Reno, Washoe County, Nevada, 89523, United States
STE 101
RENO, NV 895232303
Phone: (775) 982-5000
Fax: (775) 982-6077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 340 | 340 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 268 | 268 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 166 | 166 | $0 |
| G0009 | Administration of pneumococcal vaccine | 134 | 134 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 125 | 125 | $0 |
Insurance plans in this area (ZIP 89502)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Cardiovascular Disease (Cardiology) | NV | |
| Cardiovascular Disease (Cardiology) | NV | |
| Family Practice | TN | |
| H O S P I T A L I S T | NV | |
| - | NV | |
| - | NV | |
| Family Practice | NV | |
| - | NV | |
| Nurse Practitioner | PA |
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