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DEANNA MANDICHAK P.T.
NPI 1528149804
Specialist in Reno, NV

Active since October 17, 2006
6548 S MCCARRAN BLVD, STE A, RENO, NV 89509(775) 788-5599(775) 788-5598 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deanna Mandichak P.t. NPPES

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

DEANNA MANDICHAK P.T. (NPI 1528149804) is an individual specialist in Reno, Nevada, licensed in Nevada (0971) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1528149804
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDEANNA MANDICHAKCredential: P.T.
Location Address6548 S MCCARRAN BLVD, STE AReno, NV 89509-6150
Mailing Address6548 S Mccarran Blvd, Ste AReno, NV 89509-6150 · (775) 788-5599 · Fax (775) 788-5598
Phone(775) 788-5599
Fax(775) 788-5598
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2017
✔ NPI 1528149804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NV · 0971
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6548 S MCCARRAN BLVD, Reno, NV 89509
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Other Identifiers 1

Medicare PINBU242ZNV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deanna Mandichak P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Deanna Mandichak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sabrina M Summers
1.8 mi
Physical Therapist
185 CADILLAC PL
Reno, NV 89509
  • Reassigned Medicare billing, Nevada enrollment
  • 5 clinicians in this Medicare group
NPI 1831596188 (775) 360-5564

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

DR. STACEY BLAIR KNOBLER M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6548 S MCCARRAN BLVD, SUITE A
RENO, NV 89509
Washoe County (775) 825-8212
STACEY B. KNOBLER MD LTD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6548 S MCCARRAN BLVD, SUITE A
RENO, NV 89509
Washoe County (775) 825-8212
RENO CENTER FOR CHILD AND ADOLESCENT HEALTH
Pediatrics
6548 S MCCARRAN BLVD, SUITE A
RENO, NV 89509
Washoe County (775) 825-5437
PEARLA P MCDONALD NP
Nurse Practitioner (Family)
6548 S MCCARRAN BLVD
RENO, NV 89509
Washoe County (775) 336-1256

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 Deanna Mandichak's NPI number?

The NPI number for Deanna Mandichak is 1528149804. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Deanna Mandichak located?

Deanna Mandichak practices at 6548 S Mccarran Blvd Ste A, Reno, NV 89509. The listed phone number is (775) 788-5599.

What is Deanna Mandichak's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Deanna Mandichak enrolled in Medicare?

Yes. Deanna Mandichak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deanna Mandichak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Mandichak reassigns Medicare benefits to Sabrina M Summers (Reno, NV). The 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 Deanna Mandichak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deanna Mandichak was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.