MELANIE R REYNOLDS FNP
NPI 1013115955
Nurse Practitioner - Family in Springfield, IL

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
3132 OLD JACKSONVILLE RD, SUITE 200, SPRINGFIELD, IL 62704(217) 862-0730(217) 862-0822 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie R Reynolds Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE R REYNOLDS FNP (NPI 1013115955) is an individual family provider in Springfield, Illinois, licensed in Illinois (041304030) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013115955
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE R REYNOLDSCredential: FNP
Location Address3132 OLD JACKSONVILLE RD, SUITE 200Springfield, IL 62704-7400
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Fax(217) 862-0822
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1013115955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 041304030
3132 OLD JACKSONVILLE RD, Springfield, IL 62704

Other Identifiers 1

Other2007003738IL · Fnp Certification Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melanie R Reynolds Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183705700
PECOS Enrollment IDI20080121000165
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services54 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
38 services20 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers22 claims23 services$14.41 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers25 claims26 services$43.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Internal Medicine
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Pediatrics
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Reynolds's NPI number?

The NPI number for Melanie Reynolds is 1013115955. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Melanie Reynolds located?

Melanie Reynolds practices at 3132 Old Jacksonville Rd Suite 200, Springfield, IL 62704. The listed phone number is (217) 862-0730.

What is Melanie Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melanie Reynolds enrolled in Medicare?

Yes. Melanie Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Melanie Reynolds affiliated with any hospitals?

According to CMS data, Melanie Reynolds is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Melanie Reynolds was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.