Individual provider Active NPI

Nancy Reevs, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1013484807
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010210RX Issued in OH
Practice address
435 N 5TH St
Phoenix, AZ 85004-2157
Phone
(213) 841-2147
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.010210RX OH Primary
Physician Assistant 363A00000X PA56063 CA
Physician Assistant 363A00000X 085010529 IL

Addresses

Primary practice location

435 N 5TH St
Phoenix, AZ 85004-2157

Mailing address

4368 Clearwood Rd
Moorpark, CA 93021-2794
Phone (213) 841-2147

Other practice location 1

730 W Market St Ste 2K
Lima, OH 45801-4602
Phone (419) 996-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND, MO, IL, IA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190510001759 CA Practitioner - Physician Assistant 6002159274 Reassigns benefits to 1 organization
I20230411001441 ND Practitioner - Physician Assistant 6002159274
I20240806000256 MO Practitioner - Physician Assistant 6002159274 Reassigns benefits to 1 organization
I20240817000490 IL Practitioner - Physician Assistant 6002159274
I20260523000189 IA Practitioner - Physician Assistant 6002159274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56063CAMDPharmacist
PA56063CAMDPhysician Assistant
085010529ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Dec 16, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 16, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jun 17, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2019 Accepting new patients
St. Joseph Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Physician Assistant CurrentSince Oct 16, 2019 Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: nancy.reevs.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: nreevs267859@direct.llu.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1013484807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 CLEARWOOD RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212794",
            "telephone_number": "213-841-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N 5TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042157",
            "telephone_number": "213-841-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St Ste 2K",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-996-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVS",
        "first_name": "NANCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010210RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56063",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.