SANTIBANEZ PAC NEVADA
NPI 1174398770
Internal Medicine - Geriatric Medicine in Carson City, NV
About Santibanez Pac Nevada NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTIBANEZ PAC NEVADA (NPI 1174398770) is a healthcare organization registered as a geriatric medicine in Carson City, Nevada and active in the NPI registry since November 2023. The organization lists Julie Roser, Vp Of Business Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Santibanez Pac Nevada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Santibanez Pac Nevada, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Santibanez Pac Nevada's NPI number?
The NPI number for Santibanez Pac Nevada is 1174398770. It was assigned to this organization in the NPPES registry on November 24, 2023.
Where is Santibanez Pac Nevada located?
Santibanez Pac Nevada is located at 3050 N Ormsby Blvd, Carson City, NV 89703. The listed phone number is (775) 883-3622.
What is Santibanez Pac Nevada's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Santibanez Pac Nevada enrolled in Medicare?
Yes. Santibanez Pac Nevada is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santibanez Pac Nevada?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Santibanez Pac Nevada. 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 Nurse Practitioner (18), Internal Medicine (4) and Family Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Santibanez Pac Nevada was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Santibanez Pac Nevada · NPI 1174398770
Geriatric Medicine organization in Carson City, Nevada. Organization record, active in the CMS NPPES registry since November 24, 2023.
## Identity
- **NPI:** 1174398770 (Entity type: Organization)
- **Enumerated:** November 24, 2023
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Julie Roser, VP OF BUSINESS OPERATIONS
## Practice location
- **Address:** 3050 N ORMSBY BLVD, Carson City, NV 89703-8378
- **Phone:** (775) 883-3622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Internal Medicine (4), Family Practice (1); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1174398770/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174398770) · Data from the CMS NPPES public registry.