MRS. NICOLE MARIE REYNOLDS (P.A.) – Physician Assistant, NPI 1124376355
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. NICOLE MARIE REYNOLDS (P.A.)
12109 COUNTY ROAD 103
OXFORD, FL 344842951
Phone: (352) 205-8981
Type: Mailing
1035 PIPER BLVD STE 101
NAPLES, FL 34110
Phone: (239) 465-4157
Type: Location
300 E MCBEE AVE STE 401
GREENVILLE, SC 296012842
Phone: (864) 522-8602
Type: Mailing
48 Centennial Way
Greenville, SC 296054662
Phone: (864) 522-8000
Type: Location
340 MEDICAL PKWY STE 200
GREER, SC 296502441
Phone: (864) 797-7940
Fax: (864) 797-9402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $713.
Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.
Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Edap Technomed Inc ($396).
Total Amount
$713
General + Research + Ownership
Payments
11
Total payment records
General Amount
$713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edap Technomed Inc | $396 |
| Boston Scientific Corporation | $104 |
| Medtronic, Inc. | $79 |
| COLOPLAST CORP | $62 |
| PFIZER INC. | $32 |
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: 2021-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130808000743 | I | Physician Assistant | FL | TBD |
| I20211022002503 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 242 | 210 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 114 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 76 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 76 | 71 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 71 | 65 | $0 |
Insurance plans in this area (ZIP 34484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | NH | |
| Family Practice | SC | |
| - | SC | |
| Infectious Disease, Internal Medicine | MT | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| G A S T R O E N T E R O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | WV |
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