Individual provider Active NPI

Emily Jane Reynolds, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1336456151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
992387 Issued in CO
Practice address
9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 992387 CO Primary

Addresses

Primary practice location

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023

Mailing address

9348 Grand Cordera Pkwy, Suite #160
Colorado Springs, CO 80924
Phone (719) 355-1585

Other names 1

  • Emily Jane Phillips Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20161103002440 CO Practitioner - Nurse Practitioner 6305003781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

1175 S Perry St
Suite 220
Castle Rock, CO 80104-0017
Phone (719) 355-1585

Hospital & facility affiliations

  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.72
Promoting interoperability
100
Improvement activities
40
Cost
72.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
992387COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Oct 1, 2016 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Oct 1, 2016 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients
Winchester Physician Associates, Inc Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

41 State Highway 67
Unit B
Woodland Park, CO 80863

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • Direct secure messaging: emily.reynolds@direct.vanguardmed.nextgenshare.com

Organizations & group practices 5

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 1

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336456151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY, SUITE #160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80924",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "992387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com",
            "affiliation": "N",
            "address_1": "9348 Grand Cordera Pkwy Ste 160",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809247023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PHILLIPS",
            "middle_name": "JANE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.