DR. JOHN RAYMOND MORTENSEN (MD) – Anesthesiology Physician, NPI 1164664439

DR. JOHN RAYMOND MORTENSEN (MD) is a healthcare provider. based in Reno, Nevada. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 14675 (NV). The NPI Number for DR. JOHN RAYMOND MORTENSEN (MD) is 1164664439

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN RAYMOND MORTENSEN (MD)
NPI
1164664439
Phone
(775) 348-1900
Address
300 S ARLINGTON AVE
Enumeration Date
1 April 2009
Last Update Date
8 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7759824000
Graduation Year
2009 (17 years ago)
PAC ID
0143467274
Group Practice PAC ID
1951324318
Professional Enrollment ID
I20130509000456
Address ID
NV895021576RE1155XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

555 ANESTHESIOLOGY in NV

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Provider Addresses for DR. JOHN RAYMOND MORTENSEN (MD)

  • 300, South Arlington Avenue, Powning Addition, Reno, Washoe County, Nevada, 89501, United States

    RENO, NV 895012002

    Phone: (775) 348-1900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130509000456IAnesthesiologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)2525$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1515$0
01402Anesthesia for procedure for total knee joint replacement1313$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint1313$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1313$0
View full utilization report →

Insurance plans in this area (ZIP 89501)

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Provider's Procedures

DR. JOHN RAYMOND MORTENSEN (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNV76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2828

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951324318View full group profile
NameSpecialtyState
-NV
-NV
H O S P I T A L I S TNV
Hospitalist, Internal MedicineNV
Physical Medicine And RehabilitationMI
Physician AssistantNV
-NV
-NV
Thoracic SurgeryWV
Thoracic Surgery, Vascular SurgeryPA

Reviews

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Frequently asked questions

What identifier follows DR. JOHN RAYMOND MORTENSEN (MD) across health systems?
The NPI 1164664439 uniquely identifies DR. JOHN RAYMOND MORTENSEN (MD) in U.S. healthcare data.
Does the public listing show DR. JOHN RAYMOND MORTENSEN (MD) as active?
DR. JOHN RAYMOND MORTENSEN (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JOHN RAYMOND MORTENSEN (MD) does?
Insurance directories may phrase it differently, but here DR. JOHN RAYMOND MORTENSEN (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN RAYMOND MORTENSEN (MD) tied to Reno, Nevada?
If you are local to Reno, Nevada, DR. JOHN RAYMOND MORTENSEN (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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