ANGIE MARIE REYNOLDS (MD) – Family Medicine Physician, NPI 1528270212
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANGIE MARIE REYNOLDS (MD)
521 Martin Luther King Jr Way
Tacoma, WA 984054238
Phone: (253) 403-2900
Type: Location
1415 NW GOODWIN ST
CAMAS, WA 986079427
Phone: (206) 890-9512
Type: Mailing
655 MONTGOMERY ST STE 810
SAN FRANCISCO, CA 941112677
Phone: (844) 847-8216
Type: Location
South Tacoma Post Office, South 56th Street, South Tacoma, Tacoma, Pierce County, Washington, 98409, United States
MAIL STOP 737-2-PHYS
TACOMA, WA 984150299
Phone:
Type: Mailing
521, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States
TACOMA, WA 984054238
Phone: (253) 403-2900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070705000093 | I | Family Practice | WA | TBD |
| I20081229000152 | I | Family Practice | OR | TBD |
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.
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 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
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