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State of Nevada

State of Nevada is a healthcare organization registered as Case Management Agency in Ely, NV, holding Type 2 (organization) NPI 1396984589 since 2009. The authorized official on file is Siri Mcmillin, Billing Supervisor.

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NPI 1396984589
Entity type Organization (Type 2)
Legal business name State of Nevada
Other name <Unavail>
Practice address 1675 AVENUE F, Ely, NV, 89301
Phone 7752891671
Fax 7752891699
Enumeration date 2009-02-11
Last updated in NPPES 2009-02-11

Authorized official

Name Siri Mcmillin
Title Billing Supervisor
Phone 7756877573

Taxonomy & classification

Taxonomy code Specialty Primary License State
251B00000X Case Management Agency Primary NA NV

Other identifiers

Identifier Type State Issuer
005417001 Medicaid NV
Copy-ready billing details
Provider: State of Nevada
NPI: 1396984589
Taxonomy: 251B00000X (Case Management Agency)
Address: 1675 AVENUE F, Ely, NV, 89301

Providers at this address

NPI Name Type Specialty Location
1760572010 State of Nevada Organization Mental Health Clinic/Center (Including Community Mental Health Center) Ely, NV
1285750471 Ivan Aralica Individual Psychiatry Physician Ely, NV
1164757068 Bree Morrison Individual Social Worker Ely, NV
1265736334 Lorie Brackbill Individual Rehabilitation Counselor Ely, NV
1164726949 Krystal Blades Individual Case Manager/Care Coordinator Ely, NV
1043599053 Sydne Maycock Individual Registered Nurse Ely, NV
1144581653 Lisa Peterson Individual Social Worker Ely, NV
1235485962 Kristina Hayman Individual Mental Health Counselor Ely, NV

Verify this record

Cross-check NPI 1396984589 against the authoritative CMS record: view State of Nevada on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is State of Nevada?
State of Nevada is registered in NPPES as a Case Management Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-11.