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ADVANCED GYNECOLOGY OF RENO POPPEN
NPI 1992437057
Obstetrics & Gynecology - Gynecology in Reno, NV

Active since June 28, 2022CLIA 29D2267566 · Waiver
6630 S MCCARRAN BLVD STE A11, RENO, NV 89509(775) 237-2833(775) 237-2823 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2022, Jul 28, 2022 (2 updates tracked since 2022).

About Advanced Gynecology Of Reno Poppen NPPES

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

ADVANCED GYNECOLOGY OF RENO POPPEN (NPI 1992437057) is a healthcare organization registered as a gynecology in Reno, Nevada and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 25, 2028 and lists Kenneth Poppen, Owner, as its authorized official.

NPPES Registry Identity

NPI1992437057
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameADVANCED GYNECOLOGY OF RENO POPPEN
Location Address6630 S MCCARRAN BLVD STE A11Reno, NV 89509-6145
Mailing AddressPo Box 11742Reno, NV 89510-1742 · (775) 237-2833
Phone(775) 237-2833
Fax(775) 237-2823
Organization SubpartNo
Authorized OfficialKenneth PoppenOwner · (916) 715-1244
Enumeration DateJune 28, 2022
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1992437057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6630 S MCCARRAN BLVD STE A11, Reno, NV 89509
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Gynecology Of Reno Poppen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Gynecology Of Reno Poppen, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kenneth Poppen, D.O.
Obstetrics/Gynecology
NPI 1730439845
6630 S MCCARRAN BLVD STE B18
Reno, NV 89509
(775) 237-2833
✔ PECOS✔ Accepts MedicareSame address
Laurie Smith, APRN
Nurse Practitioner
NPI 1780855593
6630 S MCCARRAN BLVD STE B18
Reno, NV 89509
(775) 237-2833
✔ PECOSSame address

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 29D2267566

Advanced Gynecology Of Reno (poppen), PLLC · Reno, NV
Active · expires Aug 25, 2028
CLIA Number29D2267566
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
Laboratory DirectorKenneth A Poppen
Laboratory Phone(775) 237-2833
Laboratory LocationAdvanced Gynecology Of Reno (poppen), PLLC6630 S Mccarran Blvd, Bldg B, Ste 18, Reno, NV 89509
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Gynecology Of Reno Poppen's NPI number?

The NPI number for Advanced Gynecology Of Reno Poppen is 1992437057. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Advanced Gynecology Of Reno Poppen located?

Advanced Gynecology Of Reno Poppen is located at 6630 S Mccarran Blvd Ste A11, Reno, NV 89509. The listed phone number is (775) 237-2833.

What is Advanced Gynecology Of Reno Poppen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Advanced Gynecology Of Reno Poppen enrolled in Medicare?

Yes. Advanced Gynecology Of Reno Poppen is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Gynecology Of Reno Poppen?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Gynecology Of Reno Poppen, in Nurse Practitioner and Obstetrics/Gynecology. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Gynecology Of Reno Poppen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2267566) is associated with this NPI, valid through August 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Gynecology Of Reno Poppen was last updated on August 18, 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.