MRS. MAUREEN REYNOLDS STREET (MD) – Family Medicine Physician, NPI 1093716052
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for MRS. MAUREEN REYNOLDS STREET (MD)
Crystal Lake Health Center Benzonia Clinic, 6227, Frankfort Highway, Benzonia, Crystal Lake Township, Benzie County, Michigan, 49616, United States
BENZONIA, MI 496168632
Phone: (231) 882-9661
Fax: (231) 882-9616
Type: Mailing
McLaren Northern Michigan – Elk Rapids Family Medicine, 124, Ames Street, Elk Rapids, Elk Rapids Township, Antrim County, Michigan, 49629, United States
ELK RAPIDS, MI 49629
Phone: (231) 264-9060
Type: Location
9060 N BAYSHORE DR STE 2
ELK RAPIDS, MI 496299435
Phone: (231) 498-4552
Fax: (866) 920-0420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Boston Scientific Corporation ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $13 |
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: 2004-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041207000122 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 16 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
Insurance plans in this area (ZIP 49616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NM | |
| Family Practice | MI | |
| Family Practice | GA | |
| Family Practice | MI | |
| - | MI | |
| - | IL | |
| Family Practice | WY | |
| Family Practice | MI | |
| - | MI | |
| - | MI |
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