Individual provider Active NPI

Joel Greg McReynolds, PA-C

  • Medical Physician Assistant
  • Kearney, NE
National Provider Identifier
1730288564
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
971 Issued in NE
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

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100414240AOtherKSKANSAS MEDICAID
37450OtherNEBCBS INDIVIDUAL PROVIDER
47062901713MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908003656 FL Practitioner - Physician Assistant 6507916160 Reassigns benefits to 1 organization

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
Suncoast Orthopaedic Surgery and Sports Medicine, P.a.Group PAC ID 0648296285, 14 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

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 Hospital, Englewood, FL, CCN 100267
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
971NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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": "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

Verify at the official NPI Registry.