1. Home
  2. Directory
  3. Nevada
  4. Sparks
  5. Clinic Center
  6. NPI Profile

WILDCREEK SURGERY CENTER
NPI 1003875873
Clinic/Center - Ambulatory Surgical in Sparks, NV

Active since March 21, 2006CLIA 29D0936425 · Waiver
2285 GREEN VISTA DR, SPARKS, NV 89431(775) 674-1110(775) 674-1114 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wildcreek Surgery Center NPPES

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

WILDCREEK SURGERY CENTER (NPI 1003875873) is a healthcare organization registered as an ambulatory surgical in Sparks, Nevada and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Douglas K. Devries, Owner, as its authorized official.

NPPES Registry Identity

NPI1003875873
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWILDCREEK SURGERY CENTER
Location Address2285 GREEN VISTA DRSparks, NV 89431-8532
Mailing Address2285 Green Vista DrSparks, NV 89431-8532 · (775) 674-1110 · Fax (775) 674-1114
Phone(775) 674-1110
Fax(775) 674-1114
Organization SubpartNo
Authorized OfficialDouglas K. DevriesOwner · (775) 674-1110
Enumeration DateMarch 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003875873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NV · 1830ASC-8
2285 GREEN VISTA DR, Sparks, NV 89431
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildcreek Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20120607000527Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 29D0936425

Wildcreek Surgery Center · Sparks, NV
Active · expires Nov 19, 2027
CLIA Number29D0936425
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorPaul W. Hiss
Laboratory Phone(775) 674-1110
Laboratory LocationWildcreek Surgery Center2285 Green Vista Dr, Sparks, NV 89431
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
738 services430 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
336 services231 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
117 services85 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
92 services56 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
48 services24 patients
Transplantation of fetal sac tissue to cornea 65780
Transplantation of fetal sac tissue to cornea is a procedure where tissue from a fetal sac is transferred to the eye's cornea. This helps to heal and restore vision in cases of corneal damage or disease. It's a safe procedure performed by skilled doctors.
19 services16 patients

Other Providers at the Same Location NPPES 7

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

PAUL W. HISS, MD, LTD
Ophthalmology
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-1100
BENJAMIN CHEUNG OD
Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-1100
MRS. NICOLE M HOLIHAN O.D.
Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-1100
CURTIS A MANNING M.D.
Ophthalmology
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-1100
PAUL W. HISS M.D.
Ophthalmology
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-1100
DOUGLAS K DEVRIES O.D.
Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-1100
CEP AMERICA - ANESTHESIA PC
Anesthesiology
2285 GREEN VISTA DR
SPARKS, NV 89431
Washoe County (775) 674-5200

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 Wildcreek Surgery Center's NPI number?

The NPI number for Wildcreek Surgery Center is 1003875873. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Wildcreek Surgery Center located?

Wildcreek Surgery Center is located at 2285 Green Vista Dr, Sparks, NV 89431. The listed phone number is (775) 674-1110.

What is Wildcreek Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Wildcreek Surgery Center enrolled in Medicare?

Yes. Wildcreek Surgery Center is registered in the Medicare PECOS enrollment system.

When is Wildcreek Surgery Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Wildcreek Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0936425) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wildcreek Surgery Center accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Wildcreek Surgery Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wildcreek Surgery Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.