Individual provider Active NPI

Mandi Reynolds, CRNP

  • Family Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1588235246
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-129497 Issued in AL
Practice address
4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone
(205) 477-3737
Fax
(205) 477-0373
NPI assigned
Jul 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-129497 AL Primary

Addresses

Primary practice location

4810 Bell Hill Rd
Bessemer, AL 35022-6948

Mailing address

4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone (205) 477-3737

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL healthdataexchange.com Health Information Exchange (HIE) Middle Creek Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230607002701 AL Practitioner - Nurse Practitioner 7012374952 Reassigns benefits to 1 organization

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
MJB MD LLCGroup PAC ID 7214150739, 2 clinicians

Practice addresses (Care Compare)

131 E Crest Rd
Hueytown, AL 35023-1623
Phone (205) 491-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MJB MD LLC CurrentSince Jan 12, 2023 Accepting new patients
Middle Creek Medical Center CurrentSince Jul 17, 2021 Accepting new patients

Locations

4810 Bell Hill Rd
Bessemer, AL 35022
Phone (205) 426-3737

131 E Crest Rd
Hueytown, AL 35023
Phone (205) 417-4922

6450 Old Tuscaloosa Hwy
Mc Calla, AL 35111
Phone (205) 477-6161

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1588235246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226948",
            "telephone_number": "205-477-3737",
            "fax_number": "205-477-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226948",
            "telephone_number": "205-477-3737",
            "fax_number": "205-477-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MANDI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthdataexchange.com",
            "affiliation": "Y",
            "endpointDescription": "secure portal",
            "affiliationName": "Middle Creek Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4810 Bell Hill Rd",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350226948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.