Active NPI
Justin Alan Reynolds, ACNP
- Acute Care Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 270825
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1144183 | KY | MD | General Practice Registered Nurse |
| 270825 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Internal Medicine PLLC | Current | Accepting new patients | |
| Pulmonary Consultants P.C. | Nurse Practitioner | Current | Accepting new patients |
| Pulmonary Consultants P C | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates of Arizona, PC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1821391269
AZ
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1124408232
-
dba East Valley Critical Care
- Pulmonary Disease Physician
- Mesa, AZ
- NPI 1497035091
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.