Individual provider Active NPI

Adam West Reynolds, CRNP

  • Family Nurse Practitioner
  • Mount Joy, PA
National Provider Identifier
1710725932
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030190 Issued in PA
Practice address
1001 Cornerstone Dr
Mount Joy, PA 17552-9416
Phone
(717) 653-2929
NPI assigned
Jul 20, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 SP030190 PA Primary

Addresses

Primary practice location

1001 Cornerstone Dr
Mount Joy, PA 17552-9416

Mailing address

1001 Cornerstone Drive
Suite B
Mount Joy, PA 17552-9416
Phone (717) 598-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241015002945 PA Practitioner - Nurse Practitioner 3173055142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1001 Cornerstone Dr
Suite B
Mount Joy, PA 17552-9416
Phone (717) 653-2929

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Health - Columbia Center CurrentSince Oct 27, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 27, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 27, 2024 Accepting new patients
Lancaster General Health - Columbia Center Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1710725932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CORNERSTONE DRIVE",
            "address_2": "SUITE B",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529416",
            "telephone_number": "717-598-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CORNERSTONE DR",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529416",
            "telephone_number": "717-653-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ADAM",
        "middle_name": "WEST",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Joy, PA

Sources for this page

Verify at the official NPI Registry.