MR. WILLIAM GARRETT REYNOLDS (P.A.) – Physician Assistant, NPI 1649610007

MR. WILLIAM GARRETT REYNOLDS (P.A.) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA60807601 (WA). The NPI Number for MR. WILLIAM GARRETT REYNOLDS (P.A.) is 1649610007

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM GARRETT REYNOLDS (P.A.)
NPI
1649610007
Phone
(208) 271-0135
Address
1301 JONES ST
Enumeration Date
1 July 2013
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253476330
Graduation Year
2012 (14 years ago)
PAC ID
5395988877
Group Practice PAC ID
8325100480
Professional Enrollment ID
I20190925003225
Address ID
WA982755457MU4112XSWXX501

Contacts

Secure Messaging
wreynolds917077@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness95
Years active:12State licenses:1Other names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for MR. WILLIAM GARRETT REYNOLDS (P.A.)

  • 1301 JONES ST

    APT 515

    OMAHA, NE 681023242

    Phone: (208) 271-0135

    Type: Mailing

  • 3955 156TH ST NE

    MARYSVILLE, WA 982714831

    Phone: (719) 660-2696

    Type: Mailing

  • 19200 N KELSEY ST

    MONROE, WA 982721431

    Phone: (360) 794-7994

    Type: Mailing

  • 12800 BOTHELL EVERETT HWY

    EVERETT, WA 982086642

    Phone: (425) 316-5150

    Fax: (425) 316-5153

    Type: Location

  • 19200 N Kelsey St

    Monroe, WA 982721431

    Phone: (360) 794-7994

    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: 2019-09-25

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
I20190925003225IPhysician AssistantWATBD

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 minutes7371$0
99213Established patient office or other outpatient visit, 20-29 minutes4343$0
81003Automated urinalysis test2524$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 68102)

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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: 8325100480View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. WILLIAM GARRETT REYNOLDS (P.A.)'s NPI?
Yes. MR. WILLIAM GARRETT REYNOLDS (P.A.) is listed with NPI 1649610007 in the public NPI dataset.
Can I rely on MR. WILLIAM GARRETT REYNOLDS (P.A.) being an active provider?
As of the registry snapshot, MR. WILLIAM GARRETT REYNOLDS (P.A.) is marked active.
What is MR. WILLIAM GARRETT REYNOLDS (P.A.)'s specialty?
The listing groups MR. WILLIAM GARRETT REYNOLDS (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. WILLIAM GARRETT REYNOLDS (P.A.) list a practice location?
Patients near Omaha, Nebraska may find MR. WILLIAM GARRETT REYNOLDS (P.A.) in results; validate coverage separately.
Why does MR. WILLIAM GARRETT REYNOLDS (P.A.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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