Individual provider Active NPI

Paige Reynolds, MSN, FNP

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1154056406
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0031810 Issued in OH
Practice address
23250 Chagrin Blvd
Beachwood, OH 44122-5470
Phone
(440) 821-3642
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0031810 OH
Family Nurse Practitioner 363LF0000X 0031810 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd
Beachwood, OH 44122-5470

Mailing address

3313 Sheridan Rd
Portsmouth, OH 45662-2335
Phone (740) 464-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220812002398 OH Practitioner - Nurse Practitioner 8921481649 Reassigns benefits to 3 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
Onyx Sands Senior Care PCGroup PAC ID 1951815315, 6 clinicians

Practice addresses (Care Compare)

121 Fairway Ave
Piketon, OH 45661-9123
Phone (740) 352-7733

Hospital & facility affiliations

  • Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
  • Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
  • Enliven Home Health Home health agency, Gahanna, OH, CCN 368262
  • Hospice of Dayton Hospice, Dayton, OH, CCN 361501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0031810OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Virtues Long Term Care Family Medicine CurrentSince Jul 29, 2025 Accepting new patients
Panorama Healthcare LLC CurrentSince Apr 13, 2023 Accepting new patients
Hospital Care Group, P.C. Family Medicine PastSince Jul 26, 2022 Accepting new patients

Locations

1414 S Green Rd
Ste 206
South Euclid, OH 44121
Phone (216) 258-3814

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1154056406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 SHERIDAN RD",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622335",
            "telephone_number": "740-464-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "440-821-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "PAIGE",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-04-28",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "0031810",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.