MICHELLE REYNOLDS (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1356574982
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,993 NURSE PRACTITIONER in NY
Provider Addresses for MICHELLE REYNOLDS (NURSE PRACTITIONER)
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone: (415) 658-6791
Type: Mailing
30 BROAD ST FL 45
NEW YORK, NY 100042942
Phone: (212) 530-0630
Type: Location
5920 Colerain Ave
Cincinnati, OH 45239
Phone: (513) 741-7040
Fax: (513) 831-5955
Type: Location
752 N Main St
Springboro, OH 450668944
Phone: (937) 208-6865
Fax: (937) 208-6874
Type: Location
4850 Smith Rd Ste 100A
Cincinnati, OH 452122797
Phone: (513) 841-0777
Type: Location
6700 Commerce Center Dr
Dayton, OH 454142672
Phone: (937) 208-6875
Fax: (937) 208-6878
Type: Location
1130 S Main St
Englewood, OH 453222819
Phone: (937) 208-6879
Fax: (937) 208-6886
Type: Location
8 Prestige Plaza Dr Ste 107
Miamisburg, OH 453427304
Phone: (937) 208-6871
Fax: (937) 208-6874
Type: Location
935 State Route 28
Milford, OH 451501957
Phone: (513) 831-5995
Fax: (513) 831-5985
Type: Location
4961 Roberts Rd
Hilliard, OH 430268129
Phone: (614) 850-2407
Type: Location
Colerain Avenue, Camp Washington, Cincinnati, Hamilton County, Ohio, 45225, United States
CINCINNATI, OH 452396414
Phone:
Fax: (513) 831-5955
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ABBVIE INC. ($124).
Total Amount
$287
General + Research + Ownership
Payments
3
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $124 |
| AstraZeneca Pharmaceuticals LP | $122 |
| Janssen Pharmaceuticals, Inc | $41 |
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: 2025-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171017003296 | I | Nurse Practitioner | OH | TBD |
| I20210106001359 | I | Nurse Practitioner | KY | TBD |
| I20210130000097 | I | Nurse Practitioner | NY | TBD |
| I20240829001785 | I | Nurse Practitioner | MA | TBD |
| I20240829002292 | I | Nurse Practitioner | CT | TBD |
| I20240906001911 | I | Nurse Practitioner | DC | TBD |
| I20240906003255 | I | Nurse Practitioner | PA | TBD |
| I20240907000613 | I | Nurse Practitioner | NJ | TBD |
| I20241108001966 | I | Nurse Practitioner | GA | TBD |
| I20241111003858 | I | Nurse Practitioner | VA | TBD |
| I20250404000046 | I | Nurse Practitioner | SC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Physician Assistant | OH | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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