MS. KELLIE DENICE REYNA (PA-C) – Physician Assistant, NPI 1154579357

MS. KELLIE DENICE REYNA (PA-C) is a healthcare provider. based in Temple, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.008915RX (OH). The NPI Number for MS. KELLIE DENICE REYNA (PA-C) is 1154579357

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLIE DENICE REYNA (PA-C)
NPI
1154579357
Phone
(254) 724-2111
Address
2401 S 31ST ST
Enumeration Date
3 September 2008
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124544588
Graduation Year
2008 (18 years ago)
PAC ID
2062691330
Group Practice PAC ID
9739174954
Professional Enrollment ID
I20110119001033
Address ID
TX787577581AU7951XBLVD401

Contacts

Secure Messaging
kreyna915752@direct.sw.org
Secure Messaging
adena.gastro@adena.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. KELLIE DENICE REYNA (PA-C)

  • 2401 S 31ST ST

    TEMPLE, TX 765084306

    Phone: (254) 724-2111

    Type: Location

  • PO BOX 10597

    AUSTIN, TX 787661597

    Phone: (512) 485-5889

    Fax: (512) 420-0397

    Type: Mailing

  • Wyoming Springs Drive, Oak Creek, Round Rock, Williamson County, Texas, 78681, United States

    ROUND ROCK, TX 786814306

    Phone: (512) 244-2273

    Fax: (512) 244-3179

    Type: Location

  • 272 Hospital Rd Ste 225

    Chillicothe, OH 456019031

    Phone: (740) 779-8530

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Surmodics, Inc. ($34).

Total Amount

$126

General + Research + Ownership

Payments

5

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2024-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110119001033IPhysician AssistantTXTBD
I20241018002704IPhysician AssistantOHTBD

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 minutes6649$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
36415Insertion of needle into vein for collection of blood sample1515$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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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: 9739174954View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
Physician AssistantTX
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX
-TX
G A S T R O E N T E R O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify MS. KELLIE DENICE REYNA (PA-C) for billing?
Administrative and clinical systems typically use NPI 1154579357 for MS. KELLIE DENICE REYNA (PA-C).
Is MS. KELLIE DENICE REYNA (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MS. KELLIE DENICE REYNA (PA-C) as active.
What services align with MS. KELLIE DENICE REYNA (PA-C)'s listing?
MS. KELLIE DENICE REYNA (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MS. KELLIE DENICE REYNA (PA-C) in Temple, Texas?
For routing, start with Temple, Texas for MS. KELLIE DENICE REYNA (PA-C), then verify phone and hours locally.
Can I export MS. KELLIE DENICE REYNA (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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