Jessica Reynen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2766 Issued in NE

Practice address

2323 S 171St St Ste 100a
Omaha, NE 68130-4651

Phone

(531) 710-4063

Fax

(531) 721-2946

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Dermatology Clinic, P.C.Group PAC ID 7315952900, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jreynen274971@direct.nebraskamed.com

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.

• Midwest Dermatology Clinic, P.C.

  • Dermatology Physician
  • Omaha, NE
  • NPI 1568442572
  Medicare reassignment Care Compare group
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment

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

• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1619606043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S 171ST ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S 171ST ST STE 100A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304651",
            "telephone_number": "531-710-4063",
            "fax_number": "531-721-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 S 144th St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681445227",
            "country_code": "US",
            "telephone_number": "531-710-4063",
            "fax_number": "531-721-2946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8601 W Dodge Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143430",
            "country_code": "US",
            "telephone_number": "531-710-4063",
            "fax_number": "531-710-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNEN",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Victoria Reyna Rodriguez
• Cristal Reyna
• Nicollette Rose Reyna, CNA
• Ruby Reyna
• Maria Guadalupe Reynaga Hernandez
• Peggy Joli Reynolds Hall, L.C.S.W.
• Angela Maria Reynolds, RN, BSN
• Christina Reynolds, RN, MSN
• Christopher Reynolds
• Coreyona Reynolds, LPN

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.