Stacy L Reynolds, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A004638 Issued in AR

Practice address

120 Adcock Rd Ste a
Hot Springs, AR 71913

Phone

(501) 651-4500

Fax

(501) 651-4510

NPI assigned

Feb 3, 2016

Last updated

May 18, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Physicians of Hot Springs PLLCGroup PAC ID 5698665685, shared by 3 NPIs, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4
• Direct secure messaging: stacy.reynolds.1@16721.direct.athenahealth.com

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.

• Healthstar Physicians of Hot Springs

  dba Glenwood Family Medicine

  • Rural Health Clinic/Center
  • Glenwood, AR
  • NPI 1740368877
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs, PLLC

  dba Fountain Lake Family Medicine

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1316279375
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs, PLLC

  dba Hamilton West Family Medicine

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1821176934
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs, PLLC

  dba First Care Walk-In Clinic

  • Clinic/Center
  • Hot Springs, AR
  • NPI 1508240482
  NPD
• Healthstar Physicians of Hot Springs, PLLC

  dba Caddo Community Clinic

  • Family Medicine Physician
  • Norman, AR
  • NPI 1639046097
  NPD
• Arkansas Urology, P.a.

  • Urology Physician
  • Little Rock, AR
  • NPI 1093720443
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1679931760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-625-7500",
            "fax_number": "501-625-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ADCOCK RD STE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-651-4500",
            "fax_number": "501-651-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212614758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Diane Reyes, APRN
• Sarah Elizabeth Reyna, APRN
• Reynolds Geriatric Apn Care, Inc
• Deborah Renae Reynolds, APN
• Robin Reynolds, PD
• Jenell Rhodes
• Mandy Lyn Rice, D.O.
• Donna Richards
• Carol Cooper Richardson, PT
• Dedrick Richardson, PTA

• Nurse Practitioner in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.