Reno Family Medical Clinic, LLC – Primary Care Clinic/Center, NPI 1477970325

Reno Family Medical Clinic, LLC is a healthcare provider. based in Reno, Nevada. specializing in Primary Care Clinic/Center. The organization holds a License No. 11950 (NV). The NPI Number for Reno Family Medical Clinic, LLC is 1477970325

Main info

Organization
Name
Reno Family Medical Clinic, LLC
NPI
1477970325
Phone
(775) 742-7028
Address
1699 S VIRGINIA ST
Authorized Official
MARY ANN PETTIT CREDENTIALING
Enumeration Date
27 March 2014
Last Update Date
18 October 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness80
Years active:12State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Reno Family Medical Clinic, LLC

  • 1699 S VIRGINIA ST

    SUITE 100

    RENO, NV 895022820

    Phone: (775) 742-7028

    Fax: (775) 786-8685

    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: 2014-04-02

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
O20140402001764OClinic/Group PracticeNVTBD

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 89502)

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Reviews

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Frequently asked questions

Where can patients find Reno Family Medical Clinic, LLC's NPI?
You can confirm Reno Family Medical Clinic, LLC with NPI 1477970325; it appears in the national provider directory.
Is Reno Family Medical Clinic, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does Reno Family Medical Clinic, LLC list a primary specialty?
If you are matching referrals, note Primary Care Clinic/Center for Reno Family Medical Clinic, LLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for Reno Family Medical Clinic, LLC?
The page summarizes Reno, Nevada for Reno Family Medical Clinic, LLC; expand the address list for detail.
How can I contact Reno Family Medical Clinic, LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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