Individual provider Active NPI

Lindsey L. Reynolds, PA-C

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1992042758
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1409 Issued in NV
Practice address
390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417
Phone
(725) 220-8477
Fax
(833) 749-0360
NPI assigned
Jan 12, 2013
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 PA1409 NV Primary

Addresses

Primary practice location

390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

2716 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 877-5199

Other identifiers 1

IdentifierTypeStateIssuer
1992042758MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsey.reynolds.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20141008002291 NV Practitioner - Physician Assistant 8527288893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2381 E Windmill LN
Suite 14
Las Vegas, NV 89123-2069
Phone (702) 344-2936

2875 S Nellis Blvd
Suite 3
Las Vegas, NV 89121-2087
Phone (702) 843-2420

3129 N Rainbow Blvd
Las Vegas, NV 89108-4578
Phone 72522084574578

4001 S Decatur Blvd
Suite 25
Las Vegas, NV 89103-5857
Phone (725) 224-6967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1409NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC CurrentSince Jun 23, 2025 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Jun 23, 2025 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Apr 1, 2023 Accepting new patients
Centerwell Senior Primary Care NV P C Past Accepting new patients
Robert E Mutterperl DO SC PastSince Mar 1, 2009 Accepting new patients
P3 Medical Group PC Physician Assistant PastSince Feb 1, 2021 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

390 W Lake Mead Pkwy
Ste 120
Henderson, NV 89015
Phone (725) 220-8477

2716 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 240-8934

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1992042758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W LAKE MEAD PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157417",
            "telephone_number": "725-220-8477",
            "fax_number": "833-749-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2716 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280424",
            "country_code": "US",
            "telephone_number": "702-877-5199",
            "fax_number": "702-242-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LINDSEY",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-12",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992042758",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsey.reynolds.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "390 W Lake Mead Pkwy Ste 120",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890157417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.