Active NPI
Joel Greg McReynolds, PA-C
- Medical Physician Assistant
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 971
- Practice address
- 2810 W 35TH St
Kearney, NE 68845-2909 - Phone
- (308) 865-2570
- Fax
- (308) 865-2508
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 971 | NE | Primary |
Addresses
Primary practice location
2810 W 35TH St
Kearney, NE 68845-2909
Mailing address
2810 W 35TH St
Kearney, NE 68845-2909
Phone (308) 865-2570
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100414240A | Other | KS | KANSAS MEDICAID |
| 37450 | Other | NE | BCBS INDIVIDUAL PROVIDER |
| 47062901713 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
3030 Executive Dr
Venice, FL 34292-2613
Phone (941) 485-1505
3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746
7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064
779 Medical Dr
Suite 8
Englewood, FL 34223-3980
Phone (941) 485-1505
Hospital & facility affiliations
- HCA Florida Englewood Hospital
- Sarasota Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 971 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearney Bone & Joint Clinic, P.C. | Current | Accepting new patients |
Locations
910 20th St
Gothenburg, NE 69138
Phone (308) 537-3661
600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111
10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520
123 W 31st St
Kearney, NE 68847
Phone (308) 237-7719
621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800
Organizations & group practices 3
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Venice, FL
- NPI 1982638730
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1346912805
-
- Specialist
- Kearney, NE
- NPI 1093814840
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1730288564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W 35TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452909",
"telephone_number": "308-865-2570",
"fax_number": "308-865-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W 35TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452909",
"telephone_number": "308-865-2570",
"fax_number": "308-865-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREYNOLDS",
"first_name": "JOEL",
"middle_name": "GREG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS MEDICAID",
"identifier": "100414240A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PROVIDER",
"identifier": "37450",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47062901713",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.