NOAH SCOTT REID (APRN) – Family Nurse Practitioner, NPI 1114594645

NOAH SCOTT REID (APRN) is a healthcare provider. based in Tyner, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3016201 (KY). The NPI Number for NOAH SCOTT REID (APRN) is 1114594645

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NOAH SCOTT REID (APRN)
NPI
1114594645
Phone
(606) 598-5104
Address
11217 HIGHWAY 421 S
Enumeration Date
3 June 2021
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068474000
Graduation Year
2021 (5 years ago)
PAC ID
0042613697
Group Practice PAC ID
4486616141
Professional Enrollment ID
I20210720003762
Address ID
KY409726409ON145XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for NOAH SCOTT REID (APRN)

  • 11217 HIGHWAY 421 S

    TYNER, KY 404868352

    Phone: (606) 598-5104

    Type: Mailing

  • 145 ORCHARD ST

    ONEIDA, KY 409726409

    Phone: (606) 847-4000

    Fax: (606) 847-9331

    Type: Location

  • 1017 RUBRUM WAY

    RICHMOND, KY 404757573

    Phone: (859) 230-1650

    Type: Mailing

  • 3101 WALL ST

    LEXINGTON, KY 405131711

    Phone: (859) 219-6440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Exact Sciences Corporation ($15).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

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: 2021-07-20

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
I20210720003762INurse PractitionerKYTBD

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 40486)

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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: 4486616141View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Family PracticeKY
General SurgeryKY
General SurgeryKY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Orthopedic SurgeryKY
-KY

Reviews

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Frequently asked questions

What unique ID ties claims to NOAH SCOTT REID (APRN)?
NPI 1114594645 is assigned to NOAH SCOTT REID (APRN) under the national enumeration system.
Is NOAH SCOTT REID (APRN) active in the national directory?
NOAH SCOTT REID (APRN)'s public NPI profile is in an active state.
What field does NOAH SCOTT REID (APRN) work in?
You can think of NOAH SCOTT REID (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for NOAH SCOTT REID (APRN)?
We surface Tyner, Kentucky for NOAH SCOTT REID (APRN) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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