PEAVINE FAMILY PRACTICE
NPI 1265958862
Family Medicine in Reno, NV
About Peavine Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEAVINE FAMILY PRACTICE (NPI 1265958862) is a healthcare organization registered as a family medicine in Reno, Nevada and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Ricardo J. Gonzalez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peavine Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Peavine Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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 29D2139720
Peavine Family Practice · Reno, 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 Ricardo Gonzalez MD Family Practice PC's NPI number?
The NPI number for Ricardo Gonzalez MD Family Practice PC is 1265958862. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as Peavine Family Practice.
Where is Ricardo Gonzalez MD Family Practice PC located?
Ricardo Gonzalez MD Family Practice PC is located at 2005 Sierra Highlands Dr Ste 101, Reno, NV 89523. The listed phone number is (775) 624-6492.
What is Ricardo Gonzalez MD Family Practice PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ricardo Gonzalez MD Family Practice PC enrolled in Medicare?
Yes. Ricardo Gonzalez MD Family Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ricardo Gonzalez MD Family Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ricardo Gonzalez MD Family Practice PC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ricardo Gonzalez MD Family Practice PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2139720) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ricardo Gonzalez MD Family Practice PC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Ricardo Gonzalez MD Family Practice PC 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 Ricardo Gonzalez MD Family Practice PC 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.
# Peavine Family Practice · NPI 1265958862
Family Medicine organization in Reno, Nevada. Organization record, active in the CMS NPPES registry since August 16, 2017.
## Identity
- **NPI:** 1265958862 (Entity type: Organization)
- **Enumerated:** August 16, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Ricardo Gonzalez Md Family Practice Pc
- **Organization subpart:** No
- **Authorized official:** Ricardo Gonzalez, OWNER
## Practice location
- **Address:** 2005 SIERRA HIGHLANDS DR STE 101, Reno, NV 89523-2301
- **Phone:** (775) 624-6492
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 13216011297 (NV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265958862) · Data from the CMS NPPES public registry.