Carson Valley Medical Center – Critical Access Hospital, NPI 1396799102

Carson Valley Medical Center is a healthcare provider. based in Gardnerville, Nevada. specializing in Critical Access Hospital. The organization holds a License No. ========= (NV). The NPI Number for Carson Valley Medical Center is 1396799102

Main info

Organization
Name
Carson Valley Medical Center
NPI
1396799102
Phone
(775) 782-1500
Address
1107 US HIGHWAY 395 N
Authorized Official
MS. SHANNON K ROGERS CEO
Enumeration Date
19 May 2006
Last Update Date
7 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

Provider Addresses for Carson Valley Medical Center

  • 1107 US HIGHWAY 395 N

    GARDNERVILLE, NV 894105304

    Phone: (775) 782-1500

    Type: Mailing

  • 1107 HWY 395

    GARDNERVILLE, NV 89410

    Phone: (775) 782-1500

    Fax: (775) 782-1555

    Type: Location

  • PO BOX 9578

    SOUTH LAKE TAHOE, CA 961589578

    Phone: (530) 542-3000

    Fax: (530) 541-2604

    Type: Mailing

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: 2006-11-27

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
O20061104000237OCritical Access HospitalNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89410)

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Reviews

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Frequently asked questions

What number should I use to identify Carson Valley Medical Center for billing?
Administrative and clinical systems typically use NPI 1396799102 for Carson Valley Medical Center.
Should I treat Carson Valley Medical Center as an active provider?
Patients and plans typically see Carson Valley Medical Center as active in the national extract.
What type of care does Carson Valley Medical Center provide?
Carson Valley Medical Center's profile centers on Critical Access Hospital. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Carson Valley Medical Center?
Carson Valley Medical Center is associated with Gardnerville, Nevada in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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