DR. JEANINE NORIKO PACKHAM NP
NPI 1124054705
Nurse Practitioner - Acute Care in Reno, NV
About Dr. Jeanine Noriko Packham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANINE NORIKO PACKHAM NP (NPI 1124054705) is an individual acute care provider in Reno, Nevada, licensed in Oregon (200150101NP) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeanine Noriko Packham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RENO, NV 89502
RENO, NV 89502
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 Jeanine Packham's NPI number?
The NPI number for Jeanine Packham is 1124054705. It was assigned to this individual provider in the NPPES registry on June 24, 2006.
Where is Jeanine Packham located?
Jeanine Packham practices at 1000 Locust St, Reno, NV 89502. The listed phone number is (775) 786-7200.
What is Jeanine Packham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jeanine Packham enrolled in Medicare?
Yes. Jeanine Packham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jeanine Packham was last updated on March 22, 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.
# Dr. Jeanine Noriko Packham, NP · NPI 1124054705
Acute Care physician in Reno, Nevada. Individual provider, active in the CMS NPPES registry since June 24, 2006.
## Identity
- **NPI:** 1124054705 (Entity type: Individual)
- **Enumerated:** June 24, 2006
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 200150101NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 LOCUST ST, Reno, NV 89502-2597
- **Phone:** (775) 786-7200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1124054705) · Data from the CMS NPPES public registry.