CARLA ANN REYNOLDS (APRN) – Family Nurse Practitioner, NPI 1104558519

CARLA ANN REYNOLDS (APRN) is a healthcare provider. based in Branford, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 12.010667 (CT). The NPI Number for CARLA ANN REYNOLDS (APRN) is 1104558519

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CARLA ANN REYNOLDS (APRN)
NPI
1104558519
Phone
(203) 444-9518
Address
43B COCHECO AVE
Enumeration Date
26 June 2022
Last Update Date
26 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032084082
Graduation Year
2021 (5 years ago)
PAC ID
5597125336
Group Practice PAC ID
9638309362
Professional Enrollment ID
I20240425003801
Address ID
CT064052988BR6XXXXDRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for CARLA ANN REYNOLDS (APRN)

  • 43B COCHECO AVE

    BRANFORD, CT 064055209

    Phone: (203) 444-9518

    Type: Mailing

  • 148 EAST AVE

    NORWALK, CT 068515721

    Phone: (203) 538-5682

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 266 Open Payments records for all available years, with a total value of $6,323.

Total Amount is formed as General ($6,323) + Research ($0) + Ownership ($0) = $6,323.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,166).

Total Amount

$6,323

General + Research + Ownership

Payments

266

Total payment records

General Amount

$6,323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-04-25

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
I20240425003801INurse PractitionerCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06405)

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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: 9638309362View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyNY
-CT
Micrographic Dermatologic Surgery (Mds), DermatologyMN
D E R M A T O L O G YCT
Physician AssistantMA
P A T H O L O G YTX
D E R M A T O L O G YCT
Physician AssistantCT
D E R M A T O L O G YMI
-CT

Reviews

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Frequently asked questions

Does CARLA ANN REYNOLDS (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CARLA ANN REYNOLDS (APRN) uses 1104558519.
Does CMS list CARLA ANN REYNOLDS (APRN) as active?
Yes — CARLA ANN REYNOLDS (APRN) is active in the NPI listing used on this page.
What taxonomy line describes CARLA ANN REYNOLDS (APRN)?
For research purposes, treat CARLA ANN REYNOLDS (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CARLA ANN REYNOLDS (APRN)?
CARLA ANN REYNOLDS (APRN)'s geographic hint is Branford, Connecticut in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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