Active NPI
Lance Reynoso, MD
- Family Medicine Physician
- Grand Junction, CO
National Provider Identifier
1902883531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36457
- Practice address
- 2698 Patterson Rd
Grand Junction, CO 81506-8818 - Phone
- (970) 298-2800
- Fax
- (970) 298-6291
- NPI assigned
- Dec 23, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36457 | CO | Primary |
Addresses
Primary practice location
2698 Patterson Rd
Grand Junction, CO 81506-8818
Mailing address
PO Box 62
Grand Junction, CO 81502-0062
Phone (970) 298-2894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01364579 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Cherry Ave
Unit 1
Eaton, CO 80615-8256
Phone (970) 454-3838
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121
Hospital & facility affiliations
- Banner Home Care Colorado
- Banner North Colorado Medical Center
- Poudre Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36457 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Past | Accepting new patients |
Locations
100 S Cherry Ave
Unit 1
Eaton, CO 80615
Phone (970) 454-1265
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
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.
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Multi-Specialty Clinic/Center
- Windsor, CO
- NPI 1831476381
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1174231682
-
- Critical Access Hospital
- Greeley, CO
- NPI 1255971404
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1477376986
-
- Special Hospital
- Loveland, CO
- NPI 1487535431
-
- Critical Access Hospital
- Greeley, CO
- NPI 1578103750
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1720004450
-
- Critical Access Hospital
- Greeley, CO
- NPI 1831739267
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962103622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1902883531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815020062",
"telephone_number": "970-298-2894",
"fax_number": "970-298-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2698 PATTERSON RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068818",
"telephone_number": "970-298-2800",
"fax_number": "970-298-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "LANCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "36457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01364579",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.