BETHANY E REYNOLDS (NP) – Cardiovascular Disease Physician, NPI 1336848381

BETHANY E REYNOLDS (NP) is a healthcare provider. based in Lebanon, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28207345A (IN). The NPI Number for BETHANY E REYNOLDS (NP) is 1336848381

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY E REYNOLDS (NP)
NPI
1336848381
Phone
Not provided
Address
2605 N LEBANON ST
Enumeration Date
28 February 2023
Last Update Date
20 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
8325413594
Group Practice PAC ID
4082523170
Professional Enrollment ID
I20230331002517
Address ID
IN460528621LE2705XSTXX400

Contacts

Secure Messaging
bereynolds@withamdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for BETHANY E REYNOLDS (NP)

  • 2605 N LEBANON ST

    LEBANON, IN 460521476

    Phone:

    Type: Mailing

  • 2705 N LEBANON ST STE 342

    LEBANON, IN 460528621

    Phone: (765) 485-8740

    Fax: (765) 485-8749

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,637.

Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($475).

Total Amount

$1,637

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2023-03-31

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
I20230331002517INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4242$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 46052)

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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: 4082523170View full group profile

Reviews

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Frequently asked questions

What federal number belongs to BETHANY E REYNOLDS (NP)?
The federal identifier for BETHANY E REYNOLDS (NP) is NPI 1336848381.
Is BETHANY E REYNOLDS (NP) active in the national directory?
BETHANY E REYNOLDS (NP)'s public NPI profile is in an active state.
Can you summarize BETHANY E REYNOLDS (NP)'s specialty in plain language?
Clinically, the directory lists BETHANY E REYNOLDS (NP) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BETHANY E REYNOLDS (NP)?
The snapshot lists Lebanon, Indiana for BETHANY E REYNOLDS (NP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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