JANA ETHEL REID (PMHNP) – Nurse Practitioner, NPI 1033619077

JANA ETHEL REID (PMHNP) is a healthcare provider. based in West plains, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2005007398 (MO). The NPI Number for JANA ETHEL REID (PMHNP) is 1033619077

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JANA ETHEL REID (PMHNP)
NPI
1033619077
Phone
(417) 257-6762
Address
1211 PORTER WAGONER BLVD # 23
Enumeration Date
16 February 2018
Last Update Date
9 July 2019

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8884105230
Graduation Year
2017 (9 years ago)
PAC ID
7719248434
Group Practice PAC ID
2961787809
Professional Enrollment ID
I20180220003130
Address ID
MO652016583CO3600XSEXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for JANA ETHEL REID (PMHNP)

  • Porter Wagoner Boulevard, West Plains, Howell County, Missouri, 65775, United States

    WEST PLAINS, MO 657751826

    Phone: (417) 257-6762

    Fax: (417) 257-5875

    Type: Mailing

  • 1211, Porter Wagoner Boulevard, West Plains, Howell County, Missouri, 65775, United States

    WEST PLAINS, MO 657751826

    Phone: (417) 349-2334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180220003130INurse PractitionerMOTBD
I20220607000984INurse PractitionerKSTBD
I20250219004013INurse PractitionerARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes28483$0
View full utilization report →

Insurance plans in this area (ZIP 65775)

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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: 2961787809View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for JANA ETHEL REID (PMHNP)?
The registry entry for JANA ETHEL REID (PMHNP) shows NPI 1033619077.
Is JANA ETHEL REID (PMHNP) currently accepting referrals based on NPI status?
Registry metadata lists JANA ETHEL REID (PMHNP) as active.
What does the directory say JANA ETHEL REID (PMHNP) does?
Insurance directories may phrase it differently, but here JANA ETHEL REID (PMHNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JANA ETHEL REID (PMHNP)?
JANA ETHEL REID (PMHNP) is associated with West Plains, Missouri in the same public data insurers reference.
Who maintains JANA ETHEL REID (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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