Provider Nomination Forms
If you wish to nominate your physician/provider to our panel, please print, complete and send or fax the provider nomination form to:
Nevada Preferred Healthcare Providers
PO Box 30007
Reno, Nevada 89520-3007
Fax: 775.352.2475
All member requests with accurately completed forms are reviewed and considered. Providers who meet Nevada Preferred's network criteria, pass credentialing and agree to the standard contract and discounts, may be eligible for participation. Nevada Preferred does not guarantee or imply that all providers will be added.