JENNIFER BUTLER REYNALDO (PA-C) – Medical Physician Assistant, NPI 1891779468

JENNIFER BUTLER REYNALDO (PA-C) is a healthcare provider. based in Virginia beach, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA030295 (DC). The NPI Number for JENNIFER BUTLER REYNALDO (PA-C) is 1891779468

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BUTLER REYNALDO (PA-C)
NPI
1891779468
Phone
(757) 481-2333
Address
1120 FIRST COLONIAL RD
Enumeration Date
6 December 2005
Last Update Date
10 November 2015

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
1052203890
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20161005001200
Address ID
VA222034173AR950XXRDXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for JENNIFER BUTLER REYNALDO (PA-C)

  • 1120, First Colonial Road, Linkhorn, Virginia Beach, Virginia, 23454, United States

    SUITE 100

    VIRGINIA BEACH, VA 234542418

    Phone: (757) 481-2333

    Fax: (757) 481-1037

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,711.

Total Amount is formed as General ($1,711) + Research ($0) + Ownership ($0) = $1,711.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($448).

Total Amount

$1,711

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,711

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: 2016-10-05

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
I20161005001200IPhysician AssistantVATBD

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 minutes6054$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 23454)

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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: 4385682061View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER BUTLER REYNALDO (PA-C)?
The federal identifier for JENNIFER BUTLER REYNALDO (PA-C) is NPI 1891779468.
Is JENNIFER BUTLER REYNALDO (PA-C)'s NPI currently valid?
The extract we use shows JENNIFER BUTLER REYNALDO (PA-C) as active.
Does JENNIFER BUTLER REYNALDO (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JENNIFER BUTLER REYNALDO (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER BUTLER REYNALDO (PA-C)?
The snapshot lists Virginia Beach, Virginia for JENNIFER BUTLER REYNALDO (PA-C); download NPPES for the complete set.
What if Virginia Beach, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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