Active NPI
Nancy Reevs, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.010210RX
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56063 | CA | MD | Pharmacist |
| PA56063 | CA | MD | Physician Assistant |
| 085010529 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| St. Joseph Medical Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Physician Assistant | Current | 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
- nancy.reevs.p1@direct.scfhc.nextgenshare.com
- 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.
-
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatric Surgery Physician
- Upland, CA
- NPI 1861892705
Physician Assistant
-
- Rural Health Clinic/Center
- Ellendale, ND
- NPI 1346256682
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Family Medicine Physician
- Reading, PA
- NPI 1184754657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.