| Curasive LLC | |
|
890 Mill St Ste 102 Reno NV 89502-1470 | |
| (775) 870-1566 | |
| (775) 301-6653 |
| Full Name | Curasive LLC |
|---|---|
| Speciality | Counselor |
| Location | 890 Mill St Ste 102, Reno, Nevada |
| Authorized Official Name and Position | Gail a Wilson (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 8648781528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curasive LLC 700 Plaza Cir Ste N Clinton SC 29325-7556 Ph: (864) 547-2160 | Curasive LLC 890 Mill St Ste 102 Reno NV 89502-1470 Ph: (775) 870-1566 |
| NPI Number | 1104479971 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 7113256124 |
|---|---|
| Medicare Enrollment ID | O20190916003362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104479971 | NPI | - | NPPES |
| DO2555 | Other | NV | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| Provider Name | Ravikumar K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629285150 PECOS PAC ID: 0840350260 Enrollment ID: I20190916003441 |
| Provider Name | Ajainder Shergill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366648222 PECOS PAC ID: 6305991928 Enrollment ID: I20200324001781 |
| Provider Name | Katrina Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528462900 PECOS PAC ID: 7517280928 Enrollment ID: I20200820001352 |
| Provider Name | Ryan James Bristol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013597756 PECOS PAC ID: 7012310246 Enrollment ID: I20210727000306 |
| Provider Name | Elysia Lynn Stonem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407388465 PECOS PAC ID: 5698048460 Enrollment ID: I20230131001565 |
| Provider Name | Jacqueline Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167751 PECOS PAC ID: 3375888217 Enrollment ID: I20240617001152 |
| Provider Name | Caroline Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083113963 PECOS PAC ID: 7517349947 Enrollment ID: I20240813000924 |
| Provider Name | Christine Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548445505 PECOS PAC ID: 5395136832 Enrollment ID: I20250502000369 |
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