Individual provider Active NPI

Kailey Rae Reynolds, APRN

  • Acute Care Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1073282570
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H165416 Issued in IA
Practice address
705 E University Ave
Des Moines, IA 50316-2361
Phone
(515) 266-7610
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X H165416 IA Primary

Addresses

Primary practice location

705 E University Ave
Des Moines, IA 50316-2361

Mailing address

1415 11TH St
Des Moines, IA 50314-2340
Phone (319) 404-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211209001617 IA Practitioner - Nurse Practitioner 5395135156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowman Chiropractic LLCGroup PAC ID 1850576158, 3 clinicians

Practice addresses (Care Compare)

2600 University Ave
Suite 212
West Des Moines, IA 50266-1462
Phone (515) 223-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H165416IAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Nov 21, 2021 Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients
Vero Chiropractic PLLC CurrentSince Dec 1, 2022 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Nov 21, 2021 Accepting new patients
Bowman Chiropractic LLC CurrentSince Oct 1, 2024 Accepting new patients
Helping U Hear PastSince Sep 12, 2021 Accepting new patients

Locations

700 E University Ave
Ste 109A
Des Moines, IA 50316
Phone (515) 263-5255

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

630 S 50th St
West Des Moines, IA 50265
Phone (515) 422-9552

2600 University Ave
Ste 212
West Des Moines, IA 50266
Phone (515) 223-1222

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1073282570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 11TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142340",
            "telephone_number": "319-404-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162361",
            "telephone_number": "515-266-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KAILEY",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H165416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.