Individual provider Active NPI

Mackenzie Reynolds, M.D.

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1356723100
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7599 Issued in NE
Practice address
984455 Nebraska Medical Ctr
Omaha, NE 68198-8117
Phone
(402) 559-4000
NPI assigned
Jun 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7599 NE Primary

Addresses

Primary practice location

984455 Nebraska Medical Ctr
Omaha, NE 68198-8117

Mailing address

984455 Nebraska Medical Ctr
Omaha, NE 68198-8117
Phone (402) 559-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905001246 SD Practitioner - Anesthesiology 4789991183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Sanford School of Medicine of University of South Dakota, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Anesthesiology Associates IncGroup PAC ID 2668364548, 27 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

601 S Cliff Ave
Suite a
Sioux Falls, SD 57104-5275
Phone (605) 338-7098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7599NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Sep 9, 2024 Accepting new patients
Anesthesiology Associates, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sacred Heart Health Services CurrentSince Sep 9, 2024 Accepting new patients
Unmc Physicians Past Accepting new patients

Locations

601 S Cliff Ave
Ste A
Sioux Falls, SD 57104
Phone (605) 338-7098

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1356723100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984455 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988117",
            "telephone_number": "402-559-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984455 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988117",
            "telephone_number": "402-559-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MACKENZIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.