Overview
Amy Reynolds is a nurse practitioner enrolled with Centers for Medicare & Medicaid Services (CMS). The business address is 305 N Vine St, Suite 205, New Lenox, IL 60451-1643. Published on June 1, 2020.
Enrollment Information
| NPI | 1255952123 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
| PAC ID | 5193146132 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20200601000221 |
| Full Name | AMY REYNOLDS |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Address | 305 N Vine St Suite 205 New Lenox IL 60451-1643 |
| Telephone | 8158463737 |
| Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| Group Accepts Medicare Assignment | M - May accept Medicare Assignment |
Provider Overview
| NPI | 1255952123 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
| Provider Name | AMY REYNOLDS |
| Address | 305 N Vine St Ste 205 New Lenox IL 60451-1643 |
| Taxonomy Code | 363LF0000X |
| Enumeration Date | 2020-05-02 |
Organization Information
| Organization Legal Name | Group Practice PAC ID | Number of Group Practice Members | Address | Group Accepts Medicare Assignment |
|---|---|---|---|---|
| 305 N Vine St, Suite 205, New Lenox, IL 60451-1643 | M | |||
| ENDO MED CLINIC SC | 4688969496 | 2 | 3033 W Jefferson St, Suite 206, Joliet, IL 60435-5252 | Y |
| ENDO-MED CLINIC SC | 4688969496 | 2 | 3033 W Jefferson St, Suite 206, Joliet, IL 60435-5252 | Y |
Location Information
| Street Address | 305 N VINE ST SUITE 205 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-1643 |
Doctors in the same location
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Kelly M Hird | Clinical Psychologist | 305 N Vine St, Unit 201d, New Lenox, IL 60451-1652 |
Doctors in the same zip code
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Christi Livingstone | Physical Therapy | Livestrong Therapy LLC | New Lenox, IL 60451 |
| Shana Marie Teske | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 225, New Lenox, IL 60451 |
| Megan Joern | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 225, New Lenox, IL 60451 |
| Louis Rojek | Occupational Therapy | Livestrong Therapy LLC | New Lenox, IL 60451 |
| Steven A Bubanko | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Unit A, New Lenox, IL 60451-1272 |
| Jameka L Williams-Muhammad | Physical Therapy | 1316 N Cedar Rd, New Lenox, IL 60451-1160 | |
| Krupa Mahesh Shah | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 225, New Lenox, IL 60451 |
| Michael L Veerman | Chiropractic | 313 W Maple St, New Lenox, IL 60451-1633 | |
| Jacob G Snyder | Physical Therapy | Livestrong Therapy LLC | New Lenox, IL 60451 |
| John Raju | Nurse Practitioner | Livestrong Therapy LLC | New Lenox, IL 60451 |
| Find all doctors in the same zip code | |||
Similar Physicians
Doctors with similar names
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Ian R Reynolds | Geriatric Medicine | Oandw Enterprises | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 |
| Rex H Reynolds | Urology | Covenant Medical Group | 2215 Nashville Ave, Lubbock, TX 79410-1105 |
| Min Suk Reynolds | Clinical Psychologist | Progressive Behavioral Health, PLLC | 308 S Friendswood Dr, Suite 110, Friendswood, TX 77546-3989 |
| Kim Reynolds | Clinical Social Worker | 179 W Chestnut Hill Rd, Suite 5, Newark, DE 19713-2210 | |
| Wm R Reynolds | Chiropractic | 8150 Moorsbridge Rd, Suite B, Portage, MI 49024-7419 | |
| Joy Reynolds | Clinical Social Worker | 100 Kings Rd, Madison, NJ 07940-2670 | |
| Sara J Reynolds | Internal Medicine | Southwestern Vermont Medical Center Inc | 120 Hospital Dr, Bennington, VT 05201-5002 |
| Andrew Y Reynolds | General Surgery | Avera Queen of Peace | 945 E Zero St, Ainsworth, NE 69210-1556 |
| Amy E Reynolds | Anesthesiology Assistant | Piedmont Anesthesia Associates LLC | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 |
| Gretchen K Reynolds | Physician Assistant | Lancaster General Medical Group | 1159 River Rd, Marietta, PA 17547-1628 |
Improve Information
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
