DR. ROBERT DALE JR. REYNOLDS (CRNA) – Critical Care Medicine Registered Nurse, NPI 1740821099

DR. ROBERT DALE JR. REYNOLDS (CRNA) is a healthcare provider. based in Layton, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP61565233 (WA). The NPI Number for DR. ROBERT DALE JR. REYNOLDS (CRNA) is 1740821099

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT DALE JR. REYNOLDS (CRNA)
NPI
1740821099
Phone
(801) 510-1361
Address
2403 N 75 E
Enumeration Date
7 October 2019
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5308424121
Graduation Year
2019 (7 years ago)
PAC ID
0446683205
Group Practice PAC ID
1254223134
Professional Enrollment ID
I20191209001848
Address ID
CA960973450YR444XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:6State licenses:5Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for DR. ROBERT DALE JR. REYNOLDS (CRNA)

  • 2403, North 75 East, Meadowbrook Hollow, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840414078

    Phone: (801) 510-1361

    Type: Mailing

  • Doctors Hospital at Renaissance, 5501, South McColl Road, Edinburg, Hidalgo County, Texas, 78539, United States

    EDINBURG, TX 785395503

    Phone: (956) 661-0529

    Type: Location

  • 5330 S Highway 95

    Fort Mohave, AZ 864269225

    Phone: (928) 788-2273

    Type: Location

  • 444 Bruce St

    Yreka, CA 960973450

    Phone: (530) 842-4121

    Type: Location

  • 1200 Westwood Dr

    Hamilton, MT 598402345

    Phone: (406) 363-1100

    Type: Location

  • 601 S PIONEER WAY STE F

    PMB 372

    MOSES LAKE, WA 98837

    Phone: (661) 604-5180

    Type: Mailing

  • 801 E WHEELER RD

    MOSES LAKE, WA 988371820

    Phone: (509) 765-5606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
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: 2025-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20191209001848ICertified Registered Nurse Anesthetist (Crna)CATBD
I20240917004005ICertified Registered Nurse Anesthetist (Crna)WATBD
I20241029004302ICertified Registered Nurse Anesthetist (Crna)AZTBD
I20251124003859ICertified Registered Nurse Anesthetist (Crna)MTTBD

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
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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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: 1254223134View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineCA
Internal MedicineCA
Family Practice, Obstetrics/GynecologyCA
Registered Dietitian Or Nutrition ProfessionalCA
Family PracticeNY
-CA
E N D O C R I N O L O G YGA
Internal MedicineCA
Certified Registered Nurse Anesthetist (Crna)TN
Physician AssistantCA

Reviews

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Frequently asked questions

What is the standard ID for DR. ROBERT DALE JR. REYNOLDS (CRNA) in the U.S.?
In the U.S., DR. ROBERT DALE JR. REYNOLDS (CRNA) is identified by NPI 1740821099.
Should I treat DR. ROBERT DALE JR. REYNOLDS (CRNA) as an active provider?
Patients and plans typically see DR. ROBERT DALE JR. REYNOLDS (CRNA) as active in the national extract.
Which specialty label fits DR. ROBERT DALE JR. REYNOLDS (CRNA)?
NPPES ties DR. ROBERT DALE JR. REYNOLDS (CRNA) to Critical Care Medicine Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ROBERT DALE JR. REYNOLDS (CRNA)?
The directory associates DR. ROBERT DALE JR. REYNOLDS (CRNA) with Layton, Utah. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.