SAMANTHA ROSE REYNOLDS (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1477065498

SAMANTHA ROSE REYNOLDS (CRNP) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 6600 (AL). The NPI Number for SAMANTHA ROSE REYNOLDS (CRNP) is 1477065498

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ROSE REYNOLDS (CRNP)
NPI
1477065498
Phone
(205) 933-8101
Address
700 19TH ST S
Enumeration Date
31 October 2017
Last Update Date
31 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342882780
Graduation Year
2017 (9 years ago)
PAC ID
5193078160
Group Practice PAC ID
7416229406
Professional Enrollment ID
I20181022003284
Address ID
AL361163155MO3312XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for SAMANTHA ROSE REYNOLDS (CRNP)

  • 700, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331927

    Phone: (205) 933-8101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $777.

Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($321).

Total Amount

$777

General + Research + Ownership

Payments

19

Total payment records

General Amount

$777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181022003284INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes861285$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes404212$0
90792Psychiatric diagnostic evaluation with medical services246246$0
90833Psychotherapy with evaluation and management visit, 30 minutes13639$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416229406View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerTN
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Does SAMANTHA ROSE REYNOLDS (CRNP) have a public NPI I can cite?
Public records show SAMANTHA ROSE REYNOLDS (CRNP) under NPI 1477065498.
Quick check: is SAMANTHA ROSE REYNOLDS (CRNP) active?
Public NPPES data shows SAMANTHA ROSE REYNOLDS (CRNP) with an active NPI status right now.
What services align with SAMANTHA ROSE REYNOLDS (CRNP)'s listing?
SAMANTHA ROSE REYNOLDS (CRNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMANTHA ROSE REYNOLDS (CRNP)?
SAMANTHA ROSE REYNOLDS (CRNP) is associated with Birmingham, Alabama in the same public data insurers reference.
Can I export SAMANTHA ROSE REYNOLDS (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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