KRISTI L REYNOLDS – Social Worker, NPI 1154558591

KRISTI L REYNOLDS is a healthcare provider. based in Elkhorn, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 7725-123 (WI). The NPI Number for KRISTI L REYNOLDS is 1154558591

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISTI L REYNOLDS
NPI
1154558591
Phone
(262) 741-3200
Address
W4051 COUNTY RD NN
Enumeration Date
12 June 2009
Last Update Date
13 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2627413200
Graduation Year
2008 (18 years ago)
PAC ID
9830374719
Group Practice PAC ID
6002872835
Professional Enrollment ID
I20110420000293
Address ID
WI531214454EL1910XNNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for KRISTI L REYNOLDS

  • Gateway Road, Elkhorn, Omaha, Douglas County, Nebraska, 68022, United States

    ELKHORN, WI 53147

    Phone: (262) 741-3200

    Fax: (262) 741-3217

    Type: Location

  • Elkhorn Post Office, East Walworth Street, Elkhorn, Walworth County, Wisconsin, 53121, United States

    ELKHORN, WI 531211005

    Phone: (262) 741-3200

    Fax: (262) 741-3217

    Type: Mailing

  • 1910 COUNTY ROAD NN

    ELKHORN, WI 531214454

    Phone: (262) 741-3200

    Fax: (262) 741-3217

    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: 2011-04-20

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
I20110420000293IClinical Social WorkerWITBD

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
90791Psychiatric diagnostic evaluation1312$0
View full utilization report →

Insurance plans in this area (ZIP 53147)

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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: 6002872835View full group profile
NameSpecialtyState
Nurse PractitionerWI
Mental Health CounselorWI
Mental Health CounselorWI
P S Y C H I A T R YWI
-WI
Nurse PractitionerWI
P S Y C H I A T R YWI
Clinical Social WorkerWI
Clinical Social WorkerIL
-WI

Reviews

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Frequently asked questions

How do I look up KRISTI L REYNOLDS by NPI?
Use NPI 1154558591 when you need to reference KRISTI L REYNOLDS in forms, claims, or directories.
Is KRISTI L REYNOLDS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTI L REYNOLDS?
The page reflects Social Worker for KRISTI L REYNOLDS. Clinical services aligned with this taxonomy classification.
Where is KRISTI L REYNOLDS's primary listing?
We display Elkhorn, Wisconsin because that is what the record indicates for KRISTI L REYNOLDS.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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