Active NPI
Stephanie Reynolds, N.P.
- Primary Care Nurse Practitioner
- Amherst, OH
National Provider Identifier
1992107338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN.CNP.16298
- Practice address
- 578 N Leavitt Rd
Amherst, OH 44001-1131 - Phone
- (440) 988-5234
- Fax
- (440) 988-5269
- NPI assigned
- Sep 17, 2014
- Last updated
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.16298 | OH | Primary |
Addresses
Primary practice location
578 N Leavitt Rd
Amherst, OH 44001-1131
Mailing address
578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 988-5234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 960-3912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.16298 | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lorain, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians, Lorain, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Infinity NP of Columbus, LLC | Past | Accepting new patients |
Locations
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
Interoperability endpoints
- sreynolds661805@direct.bsmhealth.org
Organizations & group practices 5
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.
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- Durable Medical Equipment & Medical Supplies
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-
dba Mercy Health - Orthopedics and Sports Medicine
- Durable Medical Equipment & Medical Supplies
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1992107338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 N LEAVITT RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011131",
"telephone_number": "440-988-5234",
"fax_number": "440-988-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 N LEAVITT RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011131",
"telephone_number": "440-988-5234",
"fax_number": "440-988-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "STEPHANIE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "APRN.CNP.16298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
- 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.