Krystal Reynolds, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02006047A Issued in IN

Practice address

6911 E US Highway 36
Avon, IN 46123-8926

Phone

(317) 272-8033

Fax

(317) 272-8044

NPI assigned

Jun 24, 2016

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Obstetrics/Gynecology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

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.

• Hendricks County Hospital

  dba HRH Associate Health

  • General Practice Physician
  • Danville, IN
  • NPI 1497536163
  Medicare reassignment Care Compare group NPD
• Hendricks County Hospital

  dba Hendricks Pediatrics of Brownsburg

  • Pediatrics Physician
  • Brownsburg, IN
  • NPI 1508758210
  NPD
• Hendricks County Hospital

  dba Westside Physicians for Women

  • Obstetrics & Gynecology Physician
  • Avon, IN
  • NPI 1912008343
  NPD
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)
• Hendricks County Hospital

  dba Avon Family Health

  • Family Medicine Physician
  • Avon, IN
  • NPI 1598993784
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1730530429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238926",
            "telephone_number": "317-272-8033",
            "fax_number": "317-272-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238926",
            "telephone_number": "317-272-8033",
            "fax_number": "317-272-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Southfield Dr Ste 1360",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461684444",
            "country_code": "US",
            "telephone_number": "317-837-5555",
            "fax_number": "317-837-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KRYSTAL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101022761",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02006047A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreynolds330362@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "6911 E US Highway 36",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461238926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Hillery Reese
• Ann Shackelford Reeves
• Traci Lynn Reichert, D.C.
• Caitlin Relias
• Detra Reynolds-Todd
• Stephanie L Reynolds, M.D.
• Tamara Riano
• Mark Lashawn Rice
• Richard Burdick, O.D., P.C.
• Melinda Ann Richards, PTA

• Obstetrics & Gynecology Physician in Avon, IN
• Providers in Avon, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.