SpineNevada – Specialist, NPI 1285649608
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SpineNevada
973 Mica Dr Ste 101
Carson City, NV 897057257
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
2874 N Carson St Ste 105
Carson City, NV 897061685
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
973 Mica Dr Ste 201
Carson City, NV 897057258
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
825 S Meadows Pkwy Ste 103
Reno, NV 895219017
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
7700 Rancharrah Pkwy Ste 100
Reno, NV 895117659
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
10381 Double R Blvd
Reno, NV 895215991
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
1470 Medical Pkwy Ste 220
Carson City, NV 897034636
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
780 Vista Blvd Ste 100
Sparks, NV 894346677
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
1749 N Stewart St Ste 50
Carson City, NV 897062574
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
10539 Professional Cir Ste 201
Reno, NV 895213858
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
2874 N Carson St Ste 123
Carson City, NV 897061685
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
2874 N Carson St Ste 210
Carson City, NV 897061682
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
961 Mica Dr
Carson City, NV 897057269
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
595 Mount Rose St
Reno, NV 895093363
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
1465 S Meadows Pkwy
Reno, NV 895214835
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
9480 DOUBLE DIAMOND PKWY STE 200
RENO, NV 895215842
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Location
Kietzke Lane, Reno, Washoe County, Nevada, United States
RENO, NV 895112043
Phone: (775) 348-8800
Fax: (833) 687-1419
Type: Mailing
Double R Boulevard, Reno, Washoe County, Nevada, 89521, United States
RENO, NV 895214833
Phone: (775) 348-8800
Fax: (775) 348-8818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041008001262 | O | Clinic/Group Practice | NV | TBD |
| O20220627003522 | O | Clinic/Group Practice | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89705)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.