Joseph Wayne Reis, APNP

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

AP30006444 Issued in WA

Practice address

118 E 8TH St
Port Angeles, WA 98362-6129

Phone

(360) 457-0431

Fax

(360) 565-3905

NPI assigned

Jun 7, 2006

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Behavioral HealthGroup PAC ID 7416845870, 19 clinicians

Clallam County Public Hospital District No 1Group PAC ID 1557256468, shared by 5 NPIs, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forks Community Hospital Hospital, Forks, WA, CCN 501325
• Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/peninsulabehavioral/r4/
• Direct secure messaging: jreis779120@direct.multicare.org

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.

• Peninsula Behavioral Health

  • Community/Behavioral Health Agency
  • Port Angeles, WA
  • NPI 1760519060
  Medicare reassignment Care Compare group NPD
• Clallam County Public Hospital District No 1

  dba Forks Community Hospital

  • Critical Access Hospital
  • Forks, WA
  • NPI 1891879680
  Medicare reassignment NPD
• Clallam County Public Hospital District No 1

  dba Clallam Bay Medical Clinic

  • Rural Health Clinic/Center
  • Clallam Bay, WA
  • NPI 1235213034
  NPD
• Clallam County Public Hospital District No 1

  dba Forks Family Medical Clinic

  • Rural Health Clinic/Center
  • Forks, WA
  • NPI 1285290338
  NPD
• Clallam County Public Hospital District No 1

  dba Bogachiel Clinic

  • Rural Health Clinic/Center
  • Forks, WA
  • NPI 1285683052
  NPD
• Core Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, WA
  • NPI 1639693781
  NPD (past)
• Belmont Psychiatric Services LLC

  • Mental Health Counselor
  • Martins Ferry, OH
  • NPI 1760527394
  NPD (past)
• Ravindra K. Mehta M.D.

  • Psychiatry Physician
  • Brownsville, PA
  • NPI 1881895084
  NPD (past)

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

• Clallam County Public Hospital District 2

  dba Olympic Medical Center

  • General Acute Care Hospital
  • Port Angeles, WA
  • NPI 1306845557
  Care Compare affiliation
• Clallam County Public Hospital District No 1

  dba Forks Community Hospital

  • Critical Access Hospital
  • Forks, WA
  • NPI 1891879680
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1376583674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626129",
            "telephone_number": "360-457-0431",
            "fax_number": "360-565-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626129",
            "telephone_number": "360-457-0431",
            "fax_number": "360-565-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "JOSEPH",
        "middle_name": "WAYNE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP003048C",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "67233",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "VP003048C",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "67233",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3850",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "3850",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Nicole Reaves
• Amy Redner
• Reflections Counseling Services Group
• Alexandra Reichelt, OT61225174
• Victoria Leigh Reid, RN
• Thomas P Reis, O D PS
• Sandra Relyea, PA-C
• Jerome H Remick
• Michael Edward Reopelle, MD
• Jeffrey Reyes, BA

• Psychiatric/Mental Health Clinical Nurse Specialist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.