FALLON FAMILY MEDICINE
NPI 1811606189
Clinic/Center - Primary Care in Fallon, NV
About Fallon Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALLON FAMILY MEDICINE (NPI 1811606189) is a healthcare organization registered as a primary care in Fallon, Nevada and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Stephen Ray Jensen, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Fallon Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Fallon Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 29D1048818
Fallon Family Medicine · Fallon, 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 3lg Ventures Inc's NPI number?
The NPI number for 3lg Ventures Inc is 1811606189. It was assigned to this organization in the NPPES registry on November 16, 2022. The provider is doing business as Fallon Family Medicine.
Where is 3lg Ventures Inc located?
3lg Ventures Inc is located at 1077 New River Pkwy, Fallon, NV 89406. The listed phone number is (775) 428-2747.
What is 3lg Ventures Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is 3lg Ventures Inc enrolled in Medicare?
Yes. 3lg Ventures Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 3lg Ventures Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to 3lg Ventures Inc. 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 Family Practice (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 3lg Ventures Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D1048818) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does 3lg Ventures Inc accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list 3lg Ventures Inc 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 3lg Ventures Inc was last updated on September 20, 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.
# Fallon Family Medicine · NPI 1811606189
Primary Care organization in Fallon, Nevada. Organization record, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1811606189 (Entity type: Organization)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** 3lg Ventures Inc
- **Organization subpart:** No
- **Authorized official:** Stephen Jensen, SECRETARY
## Practice location
- **Address:** 1077 NEW RIVER PKWY, Fallon, NV 89406-6894
- **Phone:** (775) 428-2747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811606189) · Data from the CMS NPPES public registry.