Alexandra Janas , MSN, ARPN
Nurse Practitioner โข Reno, NV
555 N Arlington Ave
Reno, NV 895034723
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Alexandra Janas is listed in NPPES under Nurse Practitioner.
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NPI assigned on June 13, 2011; this date does not establish years in practice.
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Published CMS data list 16,866 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J7328 โ Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg: 14,112 service units.
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 1,190 service units.
- 99213 โ Established patient outpatient office visit: 368 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 23 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 257 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Meloxicam โ 68 prescription fills, including refills.
- Methylprednisolone โ 57 prescription fills, including refills.
- Tramadol Hcl โ 29 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: 498. Middle half: 113 to 833.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: 217. Middle half: 76 to 803.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,760 in 2020 to 16,866 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
555 N Arlington Ave
Reno, NV 895034723
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Carson City, NV; Sparks, NV. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Hayes And Fyda Mds Ltd. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2008
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
495 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $107,547 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $77,703 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
257 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,224 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $26.99 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alexandra Janas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alexandra Janas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Reno and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: 498. Middle half: 113 to 833.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: 217. Middle half: 76 to 803.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: $37,584. Middle half: $10,856 to $69,259.
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: $19,144. Middle half: $6,725 to $60,379.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: $28,260. Middle half: $7,722 to $49,362.
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: $14,485. Middle half: $4,941 to $43,005.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: 299. Middle half: 152 to 678.
Close to the middle for clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: 388. Middle half: 87 to 1,542.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: $8,756. Middle half: $1,331 to $117,627.
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: $17,099. Middle half: $1,291 to $124,956.
130 active clinicians are listed under Nurse Practitioner with a practice address in Reno, NV (907 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Reno
6.9% of these 130 clinicians have the CMS telehealth indicator.
46.2% of these 130 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 858% from 1,760 in 2020 to 16,866 in 2024.
- 2020: 1,760
- 2021: 2,184
- 2022: 2,019
- 2023: 2,004
- 2024: 16,866
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Medicare-allowed amount
Medicare-allowed amount increased 75% from $61,494 in 2020 to $107,547 in 2024.
- 2020: $61,494
- 2021: $102,951
- 2022: $109,359
- 2023: $114,925
- 2024: $107,547
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Paid by Medicare
Paid by Medicare increased 98% from $39,221 in 2020 to $77,703 in 2024.
- 2020: $39,221
- 2021: $72,870
- 2022: $74,061
- 2023: $79,224
- 2024: $77,703
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 250 in 2020 and 257 in 2024.
- 2020: 250
- 2021: 365
- 2022: 368
- 2023: 479
- 2024: 257
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30-day fills
30-day fills varied from year to year: 261 in 2020 and 257 in 2024.
- 2020: 261
- 2021: 365
- 2022: 368
- 2023: 479
- 2024: 257
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Part D drug cost
Part D drug cost decreased 63% from $3,320 in 2020 to $1,224 in 2024.
- 2020: $3,320
- 2021: $2,015
- 2022: $2,156
- 2023: $3,194
- 2024: $1,224
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2025 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $26.99.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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โ | General | $26.99 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J7328
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
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14,112 | 25 | $6.00 | $0.54 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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1,190 | 188 | $15.00 | $0.99 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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368 | 284 | $146.00 | $76.64 |
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20610
Aspiration and/or injection of fluid from large joint
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322 | 170 | $150.00 | $49.46 |
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73564
X-ray of knee, 4 or more views
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156 | 134 | $227.00 | $40.27 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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87 | 87 | $217.00 | $93.59 |
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73030
X-ray of shoulder, minimum of 2 views
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79 | 74 | $204.00 | $29.34 |
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73502
X-ray of hip, 2-3 views
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68 | 62 | $222.79 | $40.00 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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62 | 62 | $330.00 | $139.19 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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57 | 56 | $214.00 | $105.44 |
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73630
X-ray of foot, minimum of 3 views
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44 | 35 | $204.00 | $29.11 |
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73110
X-ray of wrist, minimum of 3 views
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42 | 36 | $200.21 | $33.82 |
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20600
Aspiration and/or injection of fluid from small joint
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37 | 24 | $100.00 | $36.98 |
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73721
Mri scan of leg joint without contrast
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34 | 33 | $1650.00 | $177.16 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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32 | 30 | $88.00 | $48.16 |
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20605
Aspiration and/or injection of fluid from medium joint
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30 | 24 | $125.00 | $42.93 |
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73610
X-ray of ankle, minimum of 3 views
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29 | 20 | $212.00 | $31.20 |
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73130
X-ray of hand, minimum of 3 views
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27 | 24 | $212.00 | $31.67 |
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73080
X-ray of elbow, minimum of 3 views
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22 | 18 | $204.00 | $28.12 |
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73221
Mri scan of arm joint without contrast
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21 | 20 | $1650.00 | $177.40 |
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72100
X-ray of lower and sacral spine, 2-3 views
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19 | 19 | $240.00 | $32.60 |
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73140
X-ray of finger, minimum of 2 views
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17 | 13 | $159.00 | $32.44 |
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73560
X-ray of knee, 1-2 views
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11 | 11 | $189.00 | $29.09 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Meloxicam | Meloxicam | 68 | 2,040 | $149.66 | 49 |
| Methylprednisolone | Methylprednisolone | 57 | 357 | $341.73 | 54 |
| Tramadol Hcl | Tramadol Hcl | 29 | 202 | $101.75 | 25 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 28 | 181 | $163.51 | 22 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 23 | 188 | $103.36 | 22 |
| Cephalexin | Cephalexin | 20 | 156 | $202.93 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 19 | 423 | $97.57 | 18 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | 85 | $63.79 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-04-28NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20111110000668
NV
3476727306
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Hayes And Fyda Mds Ltd
9480 Double Diamond Pkwy, Reno, NV 895215844
Phone: 7757861600
Secondary Practice Locations
5070 Ion Dr Ste 100
Sparks, NV 894361654
Phone: 7757863040
1365 Medical Pkwy
Carson City, NV 897034653
Phone: 7757863040
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Orthopaedic Trauma
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Physician Assistant - Surgical
Physician Assistant (Certified)
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Master of Physical Therapy
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: NV APN001282)
NPI status registered as active in NPPES database
Registered at 555 N ARLINGTON AVE, RENO, NV 895034723 (Tel: 7757863040)
Registered at 555 N ARLINGTON AVE, RENO, NV 895034723 (Tel: 7757863040)
Recorded as ALEXANDRA JANAS, MSN, ARPN
Registered Nurse (license number reported to NPPES: NV RN59334)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Reno
- Cari Reese, APRN
- Rhonda Strunk, APN-C
- Shelby Mood, FNP-BC
- David Burgio, APN
- Angela Miller, APRN
- Stacy Berlekamp Spatar, NP-C
Mailing Address
555 N Arlington Ave
Reno, NV 895034723
Phone: 7757863040