Individual provider Active NPI

Jessie Reynolds, MD

  • Family Medicine Physician
  • Napoleon, OH
National Provider Identifier
1649353731
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420011598 Issued in VT
Practice address
1600 E Riverview Ave
Napoleon, OH 43545-9399
Phone
(419) 592-4015
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14043 NH
Family Medicine Physician 207Q00000X 0420011598 VT Primary

Addresses

Primary practice location

1600 E Riverview Ave
Napoleon, OH 43545-9399

Mailing address

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

Other practice location 1

437 South Main Street
Bradford, VT 05033
Phone (802) 222-5562

Other identifiers 2

IdentifierTypeStateIssuer
1015141MedicaidVT
30207880MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessie.reynolds@henrycountyhospital.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240529004221 OH Practitioner - Family Practice 8921175688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians

Practice addresses (Care Compare)

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420011598VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc CurrentSince May 20, 2024 Accepting new patients
Rumford Community Family Health Center, Inc. Past Accepting new patients

Locations

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1600 E Riverview Ave
Ste 108
Napoleon, OH 43545

Interoperability endpoints

  • Direct secure messaging: jereynolds@yourcarecommunity.org

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1649353731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-592-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459399",
            "telephone_number": "419-592-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 South Main Street",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "05033",
            "country_code": "US",
            "telephone_number": "802-222-5562",
            "fax_number": "802-222-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JESSIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14043",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420011598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015141",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207880",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessie.reynolds@henrycountyhospital.medicity.net",
            "affiliation": "N",
            "address_1": "1600 E Riverview Ave",
            "city": "Napoleon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435459399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.