Individual provider Active NPI

Justin Alan Reynolds, ACNP

  • Acute Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1336893692
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
270825 Issued in AZ
Practice address
6750 E Baywood Ave # 401
Mesa, AZ 85206-1749
Phone
(480) 835-7111
Fax
(480) 969-9345
NPI assigned
Feb 7, 2022
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 270825 AZ
Acute Care Nurse Practitioner 363LA2100X 270825 AZ Primary
General Practice Registered Nurse 163WG0000X 1144183 KY

Addresses

Primary practice location

6750 E Baywood Ave # 401
Mesa, AZ 85206-1749

Mailing address

6750 E Baywood Ave # 401
Mesa, AZ 85206-1749
Phone (480) 835-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221118000661 AZ Practitioner - Nurse Practitioner 1456729615 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
Quantum Healthcare Medical Associates of Arizona PCGroup PAC ID 5597946350, 33 clinicians

Practice addresses (Care Compare)

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
63.74
Promoting interoperability
100
Improvement activities
40
Cost
89.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1144183KYMDGeneral Practice Registered Nurse
270825AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Internal Medicine PLLC CurrentSince Jun 18, 2025 Accepting new patients
Pulmonary Consultants P.C. Nurse Practitioner CurrentSince Aug 2, 2022 Accepting new patients
Pulmonary Consultants P C Current Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC CurrentSince Feb 19, 2023 Accepting new patients

Locations

2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1702 S Pierpont Dr
Mesa, AZ 85206
Phone (254) 258-9933

215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6750 E Baywood Ave
#401
Mesa, AZ 85206
Phone (480) 835-7111

6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1336893692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE # 401",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-7111",
            "fax_number": "480-969-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE # 401",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-7111",
            "fax_number": "480-969-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JUSTIN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "270825",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "270825",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1144183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.