Andrew Y Reynolds, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

24788 Issued in NE

Practice address

1900 Grassland Dr
Mitchell, SD 57301-6335

Phone

(605) 995-4950

Fax

(605) 995-4957

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD, NE2 enrollments

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 2

Specialty

General Surgery

Education

University of Nebraska College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera Queen of PeaceGroup PAC ID 9335050806, shared by 12 NPIs, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
• Avera Gregory Hospital Hospital, Gregory, SD, CCN 431338
• Platte Health Center Hospital, Platte, SD, CCN 431306
• Avera St Benedict Health Center - Cah Hospital, Parkston, SD, CCN 431330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.reynolds@avera.sdhealthlink.net

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.

• Avera Queen of Peace

  • Surgery Physician
  • Mitchell, SD
  • NPI 1134326861

  NE

  Medicare reassignment NPD
• Avera Queen of Peace

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031
  Medicare reassignment NPD
• Avera Queen of Peace

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Medicare reassignment NPD
• Avera Queen of Peace

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  NPD
• Avera Queen of Peace

  • Specialist
  • Mitchell, SD
  • NPI 1699972422
  NPD
• Fountain Point Laboratory LLC

  • Clinical Medical Laboratory
  • Norfolk, NE
  • NPI 1427614551
  NPD
• Avera Queen of Peace

  • Rural Health Clinic/Center
  • Howard, SD
  • NPI 1326043092
  NPD (past)
• Alegent Health Memorial Hospital Schuyler

  • Family Medicine Physician
  • Schuyler, NE
  • NPI 1780601781
  NPD (past)
• North Platte Nebraska Physician Group LLC

  • Surgery Physician
  • North Platte, NE
  • NPI 1740524354
  NPD (past)

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

• Avera McKennan

  • Critical Access Hospital
  • Gregory, SD
  • NPI 1275562027
  Care Compare affiliation
• Avera Queen of Peace

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Care Compare affiliation
• Platte Community Memorial Hospital Inc

  • Critical Access Hospital
  • Platte, SD
  • NPI 1235133109
  Care Compare affiliation
• St Benedict Health Center

  • Critical Access Hospital
  • Parkston, SD
  • NPI 1356443725
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1699731901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GRASSLAND DR",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016335",
            "telephone_number": "605-995-4950",
            "fax_number": "605-995-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRASSLAND DR",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016335",
            "telephone_number": "605-995-4950",
            "fax_number": "605-995-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANDREW",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "38051",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "5454",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "24788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301990",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Reimnitz, PHARMD
• Linda J Renberg, CNP
• Citori Lee Rentz, DPT
• Danielle Revoir, RBT
• Amelia Kay Rew, PA-C
• Daniel Francis Rhoads, DC
• Kari L Rickel, MSW CSW
• Maggie Riggs, NP
• Sheryl Roesler
• Roger Dean Prill Jr.

• Surgery Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.