MELISSA L REYNOLDS – Gerontology Nurse Practitioner, NPI 1033572938

MELISSA L REYNOLDS is a healthcare provider. based in Hannibal, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2015043764 (MO). The NPI Number for MELISSA L REYNOLDS is 1033572938

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA L REYNOLDS
NPI
1033572938
Phone
(573) 629-3440
Address
6500 HOSPITAL DR
Enumeration Date
30 March 2016
Last Update Date
6 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732481300
Graduation Year
2015 (11 years ago)
PAC ID
7618275744
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20170314000151
Address ID
MO634016890HA6500XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MELISSA L REYNOLDS

  • 6500 HOSPITAL DR

    2B

    HANNIBAL, MO 634016890

    Phone: (573) 629-3440

    Fax: (573) 629-3423

    Mailing address matches the actual address.

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Amgen Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$14
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: 2017-03-14

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
I20170314000151INurse PractitionerMOTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7575$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit2929$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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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: 1254236300View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeMO
Internal MedicineMO
Nephrology, Internal Medicine, Nephrology, Internal MedicineIL
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
P A T H O L O G YMO
Internal Medicine, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I use this page to confirm MELISSA L REYNOLDS's NPI?
Yes. MELISSA L REYNOLDS is listed with NPI 1033572938 in the public NPI dataset.
Does CMS list MELISSA L REYNOLDS as active?
Yes — MELISSA L REYNOLDS is active in the NPI listing used on this page.
What is MELISSA L REYNOLDS's primary classification?
Gerontology Nurse Practitioner is the headline specialty for MELISSA L REYNOLDS here. Clinical services aligned with this taxonomy classification.
Where is MELISSA L REYNOLDS based?
MELISSA L REYNOLDS is tied to Hannibal, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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