TINA MARIE REYNOLDS (NP) – Adult Health Nurse Practitioner, NPI 1023273232

TINA MARIE REYNOLDS (NP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN11002316 (FL). The NPI Number for TINA MARIE REYNOLDS (NP) is 1023273232

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
TINA MARIE REYNOLDS (NP)
NPI
1023273232
Phone
(503) 420-5852
Address
5933 NE Win Sivers Dr Ste 310
Enumeration Date
28 July 2008
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9414069029
Graduation Year
2008 (18 years ago)
PAC ID
5799848206
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20220823000045
Address ID
FL342248616EN3000XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for TINA MARIE REYNOLDS (NP)

  • 5933 NE Win Sivers Dr Ste 310

    Portland, OR 972209106

    Phone: (503) 420-5852

    Type: Location

  • 2150 N 107th St Ste 480

    Seattle, WA 981339009

    Phone: (206) 962-3535

    Type: Location

  • ELM AND CARLTON ST

    BUFFALO, NY 142630001

    Phone: (716) 845-2300

    Type: Mailing

  • 395 Oyster Point Blvd Ste 512

    South San Francisco, CA 940801973

    Phone: (560) 826-2945

    Type: Location

  • 3000 S McCall Rd

    Englewood, FL 342248616

    Phone: (941) 841-4200

    Fax: (941) 841-4201

    Type: Location

  • 701 Seneca St Ste 646C

    Buffalo, NY 142101351

    Phone: (716) 995-4450

    Type: Location

  • 3401 Centre Lake Dr Ste 470

    Ontario, CA 91761

    Phone: (909) 566-0445

    Type: Location

  • Elm and Carlton St

    Buffalo, NY 142630001

    Phone: (716) 845-2300

    Type: Location

  • 2401 Park Dr Ste 101

    Harrisburg, PA 171109303

    Phone: (717) 686-9842

    Type: Location

  • 646, Seneca Street, Larkinville, Buffalo, Erie County, New York, 14210, United States

    BUFFALO, NY 142101351

    Phone: (716) 995-4450

    Type: Location

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Fax: (239) 599-2612

    Type: Mailing

  • 3000 S MCCALL RD

    ENGLEWOOD, FL 342248616

    Phone: (941) 841-4200

    Fax: (941) 841-4201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novo Nordisk Inc ($94).

Total Amount

$328

General + Research + Ownership

Payments

16

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-08-23

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
I20220823000045INurse PractitionerFLTBD

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 97220)

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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: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Does TINA MARIE REYNOLDS (NP) have a public NPI I can cite?
Public records show TINA MARIE REYNOLDS (NP) under NPI 1023273232.
Is TINA MARIE REYNOLDS (NP)'s NPI status active today?
Active status means TINA MARIE REYNOLDS (NP)'s NPI record is not deactivated in the public file.
What services align with TINA MARIE REYNOLDS (NP)'s listing?
TINA MARIE REYNOLDS (NP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to TINA MARIE REYNOLDS (NP)?
TINA MARIE REYNOLDS (NP) shows a connection to Portland, Oregon in registry-derived data.
Can I export TINA MARIE REYNOLDS (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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