Individual provider Active NPI

Amy Christine Reynolds, CRNP, FNP

  • Family Nurse Practitioner
  • Springfield, PA
National Provider Identifier
1154703494
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015171 Issued in PA
Practice address
100 W Sproul Rd Ste 224
Springfield, PA 19064-2033
Phone
(610) 789-6320
Fax
(484) 471-3917
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015171 PA Primary

Addresses

Primary practice location

100 W Sproul Rd Ste 224
Springfield, PA 19064-2033

Mailing address

100 W Sproul Rd Ste 224
Springfield, PA 19064-2033
Phone (610) 789-6320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.reynolds@medicalassociatesofdrexelhill.chartmakerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151001000154 PA Practitioner - Nurse Practitioner 5890003487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 164E
Wynnewood, PA 19096-3427
Phone (610) 649-1175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

100 W Sproul Rd
Ste 224
Springfield, PA 19064
Phone (610) 715-2316

100 E Lancaster Ave
Ste 164E
Wynnewood, PA 19096

Interoperability endpoints

  • Direct secure messaging: areynolds60548@direct.acumenmd.com
  • Direct secure messaging: amy.reynolds@medicalassociatesofdrexelhill.chartmakerdirect.com

Organizations & group practices 1

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1154703494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SPROUL RD STE 224",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642033",
            "telephone_number": "610-789-6320",
            "fax_number": "484-471-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SPROUL RD STE 224",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642033",
            "telephone_number": "610-789-6320",
            "fax_number": "484-471-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "credential": "CRNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.reynolds@medicalassociatesofdrexelhill.chartmakerdirect.com",
            "affiliation": "N",
            "address_1": "100 W Sproul Rd Ste 224",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190642033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.