Sierra Nevada Endocrinology Consultants – Internal Medicine Physician, NPI 1962501940
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Sierra Nevada Endocrinology Consultants
801 E Williams Ave
Fallon, NV 894063052
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
6 Steptoe Cir
Ely, NV 893012692
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
900 Mizpah St Ste B
Winnemucca, NV 894453249
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
1995 Errecart Blvd Ste 205
Elko, NV 898018337
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
932 Ryland St
Reno, NV 895021773
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
2345 E Prater Way Ste 102
Sparks, NV 894349664
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
2340 S Carson St Ste A
Carson City, NV 897014540
Phone: (775) 322-4550
Fax: (775) 322-4956
Type: Location
670, Sierra Rose Drive, Reno, Washoe County, Nevada, 89511, United States
RENO, NV 895112072
Phone: (775) 322-4550
Fax: (775) 322-4776
Type: Mailing
5437 KIETZKE LN
RENO, NV 895111088
Phone: (775) 322-4550
Fax: (775) 322-4776
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: 2020-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (36 days ago).
Enrollment records
2
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20040902000894 | O | Clinic/Group Practice | NV | TBD |
| O20201030000704 | O | Clinic/Group Practice | CA | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 89406)
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