MISS JESSICA NOEL REYNOLDS (AGCNS-BC) – Adult Health Clinical Nurse Specialist, NPI 1174041735

MISS JESSICA NOEL REYNOLDS (AGCNS-BC) is a healthcare provider. based in Las vegas, Nevada. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials AGCNS-BC. They hold a License No. APRN002662 (NV). The NPI Number for MISS JESSICA NOEL REYNOLDS (AGCNS-BC) is 1174041735

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MISS JESSICA NOEL REYNOLDS (AGCNS-BC)
NPI
1174041735
Phone
(954) 923-7440
Address
6240 N Durango Dr Ste 120
Enumeration Date
5 September 2017
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027768300
Graduation Year
2017 (9 years ago)
PAC ID
6507104346
Group Practice PAC ID
7012065576
Professional Enrollment ID
I20210219000104
Address ID
NV890111708HE825XXRDXX448
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

3 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in NV

Provider Addresses for MISS JESSICA NOEL REYNOLDS (AGCNS-BC)

  • 6240 N Durango Dr Ste 120

    Las Vegas, NV 891493941

    Phone: (954) 923-7440

    Fax: (954) 923-1299

    Type: Location

  • 6989 EMERALD SPRINGS LN

    LAS VEGAS, NV 891131366

    Phone: (916) 390-2296

    Type: Mailing

  • 2435 Fire Mesa St Ste 120

    Las Vegas, NV 891289009

    Phone: (702) 968-2437

    Fax: (702) 479-1796

    Type: Location

  • 6240 N DURANGO DR STE 120

    LAS VEGAS, NV 891493941

    Phone: (954) 923-7440

    Fax: (954) 923-1299

    Type: Location

  • Fire Mesa Street, Las Vegas Technology Park, Desert Shores, Las Vegas, Clark County, Nevada, 89128, United States

    LAS VEGAS, NV 891289009

    Phone: (702) 968-2437

    Fax: (702) 479-1796

    Type: Location

  • 825 N GIBSON RD STE 311

    HENDERSON, NV 890111708

    Phone: (702) 776-8300

    Fax: (702) 776-8408

    Type: Mailing

  • 5437 KIETZKE LN

    RENO, NV 895111088

    Phone: (775) 322-4550

    Fax: (775) 562-2694

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: MIMEDX Group, Inc. ($124).

Total Amount

$124

General + Research + Ownership

Payments

3

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MIMEDX Group, Inc.$124
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: 2021-02-19

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
I20210219000104ICertified Clinical Nurse Specialist (Cns)NVTBD

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 89149)

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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: 7012065576View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineNV
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
-NV
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, Infectious DiseaseNV

Reviews

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Frequently asked questions

Is MISS JESSICA NOEL REYNOLDS (AGCNS-BC) listed with a National Provider Identifier?
Yes — MISS JESSICA NOEL REYNOLDS (AGCNS-BC) has NPI 1174041735 on file in the registry.
Is MISS JESSICA NOEL REYNOLDS (AGCNS-BC) still an active registrant?
MISS JESSICA NOEL REYNOLDS (AGCNS-BC) carries an active NPI according to the public dataset.
How would a patient describe MISS JESSICA NOEL REYNOLDS (AGCNS-BC)'s focus?
For MISS JESSICA NOEL REYNOLDS (AGCNS-BC), the primary taxonomy reads as Adult Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What locale is associated with MISS JESSICA NOEL REYNOLDS (AGCNS-BC)?
Directory geography for MISS JESSICA NOEL REYNOLDS (AGCNS-BC) centers on Las Vegas, Nevada.
Does MISS JESSICA NOEL REYNOLDS (AGCNS-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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