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TONOPAH PRIMARY CARE LLC
NPI 1003305616
Nurse Practitioner - Family in Tonopah, NV

Active since May 09, 2018CLIA 29D0926246 · Waiver
119 ST. PATRICK, TONOPAH, NV 89049(775) 482-9898(775) 482-9900 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tonopah Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONOPAH PRIMARY CARE LLC (NPI 1003305616) is a healthcare organization registered as a family in Tonopah, Nevada and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Eljena Marie Peterson, Manager, as its authorized official.

NPPES Registry Identity

NPI1003305616
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTONOPAH PRIMARY CARE LLC
Location Address119 ST. PATRICKTonopah, NV 89049
Mailing AddressPo Box 1628Tonopah, NV 89049-1628 · (775) 482-9898 · Fax (775) 482-9900
Phone(775) 482-9898
Fax(775) 482-9900
Organization SubpartNo
Authorized OfficialEljena Marie PetersonManager · (775) 482-9898
Enumeration DateMay 9, 2018
✔ NPI 1003305616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · APRN002866
119 ST. PATRICK, Tonopah, NV 89049
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D0926246

Tonopah Primary Care LLC · Tonopah, NV
Active · expires Mar 17, 2027
CLIA Number29D0926246
Laboratory TypePractitioner Other
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorEljena M. Peterson
Laboratory Phone(775) 482-9898
Laboratory LocationTonopah Primary Care LLC119 St Patrick St, Tonopah, NV 89049
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELJENA MARIE PETERSON APRN FNP
Nurse Practitioner (Family)
119 ST. PATRICK
TONOPAH, NV 89049
Nye County (775) 482-9898
DR. JAMES KEARNS OLPIN D.M.D.
Dentist (General Practice)
119 ST. PATRICK
TONOPAH, NV 89049
Nye County (775) 482-6617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonopah Primary Care LLC's NPI number?

The NPI number for Tonopah Primary Care LLC is 1003305616. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is Tonopah Primary Care LLC located?

Tonopah Primary Care LLC is located at 119 St. Patrick, Tonopah, NV 89049. The listed phone number is (775) 482-9898.

What is Tonopah Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Tonopah Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0926246) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tonopah Primary Care LLC was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.