Susan Marie Reynolds, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A074307 Issued in IA

Practice address

522 N Hancock St
Ottumwa, IA 52501-4231

Phone

(641) 683-0800

Fax

(641) 683-0801

NPI assigned

Aug 30, 2005

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

Other identifiers 4

Other names 1

• Susan Marie Chance Former name

Medicare fee-for-service enrollment

Enrolled in IA, MT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://mbnj.mmi.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: susan.reynolds.1@14940.direct.athenahealth.com

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.

• QV Urgent Care Ia PLLC

  • Urgent Care Clinic/Center
  • Mt. Pleasant, IA
  • NPI 1407465917
  Medicare reassignment NPD
• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Washington, IA
  • NPI 1235835950
  NPD
• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801
  NPD (past)
• Ottumwa Regional Health Center Inc

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1750383055
  NPD (past)
• Bitterroot Family Medicine, P.C.

  • Primary Care Clinic/Center
  • Hamilton, MT
  • NPI 1083727374
  NPD (past)
• Missoula Bone & Joint, LLC

  • Orthopaedic Surgery Physician
  • Missoula, MT
  • NPI 1447207212
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1801889498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525449017",
            "telephone_number": "641-437-3000",
            "fax_number": "641-437-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N HANCOCK ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014231",
            "telephone_number": "641-683-0800",
            "fax_number": "641-683-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "36832",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A074307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801889498",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801889498",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801889498",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMT",
            "identifier": "0000374761",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHANCE",
            "middle_name": "MARIE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rescare, Inc
• Adam John Reyna, PHARMD.
• Jessica Lane Richards
• Natalie Rindt, RD, LD
• River Hills Community Health Center Inc
• River Hills Community Health Center Inc
• River Hills Community Health Center Inc

• Family Nurse Practitioner in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.