JEFFERSON REYNOLDS (DNAP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1417386483

JEFFERSON REYNOLDS (DNAP, CRNA) is a healthcare provider. based in Hibbing, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNAP, CRNA. They hold a License No. 0024171445 (VA). The NPI Number for JEFFERSON REYNOLDS (DNAP, CRNA) is 1417386483

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERSON REYNOLDS (DNAP, CRNA)
NPI
1417386483
Phone
Not provided
Address
750 E 34TH ST
Enumeration Date
10 November 2013
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
2182623441
Graduation Year
2014 (12 years ago)
PAC ID
5294966875
Group Practice PAC ID
8022920024
Professional Enrollment ID
I20151016002144
Address ID
MN557462935HI3605XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for JEFFERSON REYNOLDS (DNAP, CRNA)

  • 750 E 34TH ST

    HIBBING, MN 557462341

    Phone:

    Type: Mailing

  • 300 S Bruce St

    Marshall, MN 562581934

    Phone: (507) 537-9114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,281.

Total Amount is formed as General ($1,281) + Research ($0) + Ownership ($0) = $1,281.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($1,202).

Total Amount

$1,281

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2023-07-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151016002144ICertified Registered Nurse Anesthetist (Crna)MNTBD
I20230724002208ICertified Registered Nurse Anesthetist (Crna)NDTBD

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 55746)

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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: 8022920024View full group profile

Reviews

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Frequently asked questions

Is JEFFERSON REYNOLDS (DNAP, CRNA) listed with a National Provider Identifier?
Yes — JEFFERSON REYNOLDS (DNAP, CRNA) has NPI 1417386483 on file in the registry.
Active or inactive — what applies to JEFFERSON REYNOLDS (DNAP, CRNA)?
You should see JEFFERSON REYNOLDS (DNAP, CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with JEFFERSON REYNOLDS (DNAP, CRNA)?
JEFFERSON REYNOLDS (DNAP, CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JEFFERSON REYNOLDS (DNAP, CRNA) located near Hibbing?
JEFFERSON REYNOLDS (DNAP, CRNA) currently maps to Hibbing, Minnesota in this extract.
Does JEFFERSON REYNOLDS (DNAP, CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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