KARI JORDAN REZAC DO
NPI 1811459043
Physical Medicine & Rehabilitation - Sports Medicine in Truckee, CA
About Kari Jordan Rezac Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARI JORDAN REZAC DO (NPI 1811459043) is an individual sports medicine provider in Truckee, California, licensed in California (20A21020) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Incline Village Community Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kari Jordan Rezac Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kari Rezac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Truckee, CA 96161
- Reassigned Medicare billing, California and Nevada enrollments
- Also billed through NPI 1801957667 (Nevada)
- 129 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Incline Village Community Hospital
Critical Access Hospitals · Incline Village, NVOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRUCKEE, CA 96161
TRUCKEE, CA 96161
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 Kari Rezac's NPI number?
The NPI number for Kari Rezac is 1811459043. It was assigned to this individual provider in the NPPES registry on April 5, 2019.
Where is Kari Rezac located?
Kari Rezac practices at 10710 Donner Pass Rd, Truckee, CA 96161. The listed phone number is (530) 582-7488.
What is Kari Rezac's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Kari Rezac enrolled in Medicare?
Yes. Kari Rezac is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kari Rezac's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kari Rezac reassigns Medicare benefits to Tahoe Forest Hospital District (Truckee, CA). 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 Kari Rezac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kari Rezac affiliated with any hospitals?
According to CMS data, Kari Rezac is affiliated with Incline Village Community Hospital.
When was this NPI record last updated?
The NPPES record for Kari Rezac was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kari Jordan Rezac, DO · NPI 1811459043
Sports Medicine physician in Truckee, California. Individual provider, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1811459043 (Entity type: Individual)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **State license:** 20A21020 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10710 DONNER PASS RD, Truckee, CA 96161-4812
- **Phone:** (530) 582-7488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tahoe Forest Hospital District (NPI 1538689583, Truckee, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2019
## Record status
- **NPPES last updated:** July 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811459043) · Data from the CMS NPPES public registry.