NPIMap

Individual provider Active NPI

Kylie Nicole Reynolds, PA

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1922764281
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
40 Aviemore Dr
Pinehurst, NC 28374-9700
Phone
(910) 484-2171
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

40 Aviemore Dr
Pinehurst, NC 28374-9700

Mailing address

40 Aviemore Dr
Pinehurst, NC 28374-9700

Other practice location 1

6000 Ramsey St Ste 108
Fayetteville, NC 28311-7189
Phone (910) 484-3332

Other practice location 2

4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214002530 NC Practitioner - Physician Assistant 8325438906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
80.73
Improvement activities
40
Cost
85.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Past Accepting new patients
Cape Fear Valley Health Medical Group LLC Physician Assistant Past Accepting new patients

Locations

6000 Ramsey St
Ste 108
Fayetteville, NC 28311
Phone (910) 484-3332

1315 Avon St
#101
Fayetteville, NC 28304
Phone (910) 433-9004

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

40 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 295-3100

Interoperability endpoints

  • Direct secure messaging: kylie.masonpac.p1@direct.capefearortho.nextgenshare.com
  • Direct secure messaging: mkingbeng97476@capefearvalley.direct-ci.com

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922764281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749700",
            "telephone_number": "910-484-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Ramsey St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283117189",
            "country_code": "US",
            "telephone_number": "910-484-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 Ferncreek Dr Ste 801",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142572",
            "country_code": "US",
            "telephone_number": "910-484-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KYLIE",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.