Michelle Reynolds, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345846 Issued in NY

Practice address

30 Broad St FL 45
New York, NY 10004-2942

Phone

(212) 530-0630

NPI assigned

Aug 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, KY, NY, MA, CT, DC, PA, NJ, GA, VA, SC11 enrollments

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 11

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318
• Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 41)

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: michelle.reynolds@779530956636164.direct.elationemr.com
• Direct secure messaging: michelle.reynolds@398008301912068.direct.elationemr.com
• Direct secure messaging: mreynolds300919@direct.metrohealth.org

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.

• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  KY

  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1053353615
  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment Care Compare group NPD
• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment Care Compare group NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Medical Group of New York, P.C.

  • Family Nurse Practitioner
  • Eastchester, NY
  • NPI 1487983516
  Medicare reassignment NPD
• Emergency Physician Associates of Ohio, Inc

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1093059164
  Medicare reassignment NPD
• MC Medical Group of DC, PC

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1063644466
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1699747303
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Pennsylvania LLC

  • Family Nurse Practitioner
  • Bryn Mawr, PA
  • NPI 1881738037
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Virginia LLC

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1417076829

  DC

  Medicare reassignment NPD
• Minuteclinic Video Virtual Care, PLLC

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1316402746

  PA

  Medicare reassignment NPD

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

• Barrett Hospital Development Corporation

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1326042078
  Care Compare affiliation
• Barrett Hospital Development Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillon, MT
  • NPI 1326419102
  Care Compare affiliation
• Sonoma Valley Health Care District

  • General Acute Care Hospital
  • Sonoma, CA
  • NPI 1710063870
  Care Compare affiliation

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1356574982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BROAD ST FL 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042942",
            "telephone_number": "212-530-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45239",
            "country_code": "US",
            "telephone_number": "513-741-7040",
            "fax_number": "513-831-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451501957",
            "country_code": "US",
            "telephone_number": "513-831-5995",
            "fax_number": "513-831-5985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222819",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 Commerce Center Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142672",
            "country_code": "US",
            "telephone_number": "937-208-6875",
            "fax_number": "937-208-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Prestige Plaza Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427304",
            "country_code": "US",
            "telephone_number": "937-208-6871",
            "fax_number": "937-208-6874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "752 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450668944",
            "country_code": "US",
            "telephone_number": "937-208-6865",
            "fax_number": "937-208-6874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 Smith Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122797",
            "country_code": "US",
            "telephone_number": "513-841-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4961 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268129",
            "country_code": "US",
            "telephone_number": "614-850-2407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN320820",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9272682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019940",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2378932",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345846",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R179770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Reynolds
• Kristen Reynolds, NP
• Lauren Reynolds, MA
• Martina Marie Reynolds, DDS
• Michael Reynolds, MD
• Nicole Noelle Reynolds, NP
• Olecia Reynolds, MD
• Quentin Joseph Reynolds, MD
• Sarah Reynolds
• Shaka Reynolds

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.

Verify at the official NPI Registry.