CRESCENT VALLEY MEDICAL CLINIC
NPI 1023196292
Clinic/Center - Federally Qualified Health Center (FQHC) in Crescent Valley, NV
About Crescent Valley Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRESCENT VALLEY MEDICAL CLINIC (NPI 1023196292) is a healthcare organization registered as a federally qualified health center (fqhc) in Crescent Valley, Nevada and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Walter B Davis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crescent Valley Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Crescent Valley Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 50Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 29D2102325
Nevada Health Centers Carson City School-Based · Carson City, NVFrequently 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 Nevada Health Centers Inc's NPI number?
The NPI number for Nevada Health Centers Inc is 1023196292. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Crescent Valley Medical Clinic.
Where is Nevada Health Centers Inc located?
Nevada Health Centers Inc is located at 5043 Tenabo Avenue, Crescent Valley, NV 89821. The listed phone number is (775) 468-1010.
What is Nevada Health Centers Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Nevada Health Centers Inc enrolled in Medicare?
Yes. Nevada Health Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nevada Health Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 9 Medicare specialties reassign their Medicare billing to Nevada Health Centers Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (18), Nurse Practitioner (14) and Clinical Social Worker (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Nevada Health Centers Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2102325) is associated with this NPI, valid through September 20, 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 Nevada Health Centers Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Crescent Valley Medical Clinic · NPI 1023196292
Federally Qualified Health Center (FQHC) organization in Crescent Valley, Nevada. Organization record, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1023196292 (Entity type: Organization)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Nevada Health Centers Inc
- **Organization subpart:** Yes (part of Nevada Health Centers Inc)
- **Authorized official:** Walter Davis, CEO
## Practice location
- **Address:** 5043 TENABO AVENUE, Crescent Valley, NV 89821-1155
- **Phone:** (775) 468-1010 · **Fax:** (775) 468-1019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 50 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (18), Nurse Practitioner (14), Clinical Social Worker (6); [full list](https://npiprofile.com/npi/1023196292/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 1023196292 (NV); Other DQ468D (NV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023196292) · Data from the CMS NPPES public registry.