MELISSA REYNOLDS (NP) – Family Nurse Practitioner, NPI 1689227902

MELISSA REYNOLDS (NP) is a healthcare provider. based in Saint robert, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2019026691 (MO). The NPI Number for MELISSA REYNOLDS (NP) is 1689227902

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA REYNOLDS (NP)
NPI
1689227902
Phone
(573) 336-5100
Address
608 OLD ROUTE 66
Enumeration Date
17 July 2019
Last Update Date
17 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733365100
Graduation Year
2019 (7 years ago)
PAC ID
4981931664
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20190805001351
Address ID
MO655843730SA608XX66XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for MELISSA REYNOLDS (NP)

  • Old Route 66, Gospel Ridge, Saint Robert, Pulaski County, Missouri, 65584, United States

    SAINT ROBERT, MO 655843730

    Phone: (573) 336-5100

    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)

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: 2019-08-05

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
I20190805001351INurse 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
81003Automated urinalysis test3526$0
View full utilization report →

Insurance plans in this area (ZIP 65584)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MELISSA REYNOLDS (NP)?
The federal identifier for MELISSA REYNOLDS (NP) is NPI 1689227902.
Is MELISSA REYNOLDS (NP) active in the national directory?
MELISSA REYNOLDS (NP)'s public NPI profile is in an active state.
What does MELISSA REYNOLDS (NP) treat or focus on?
Patients typically see MELISSA REYNOLDS (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MELISSA REYNOLDS (NP)'s primary listing?
We display Saint Robert, Missouri because that is what the record indicates for MELISSA REYNOLDS (NP).
Is MELISSA REYNOLDS (NP) a real provider?
This page reflects official NPPES data for NPI 1689227902. Always confirm identity and privileges with the practice and licensing boards.

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