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MITCHELL REYNOLDS CRNA
NPI 1043603764
Nurse Anesthetist, Certified Registered in Traverse City, MI

Active since March 05, 2015Accepts Medicare Assignment
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684(231) 935-5770(231) 935-0747 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Jul 1, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Mitchell Reynolds Crna NPPES

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

MITCHELL REYNOLDS CRNA (NPI 1043603764) is an individual nurse anesthetist, certified registered in Traverse City, Michigan, licensed in Michigan (4704282268) and active in the NPI registry since March 2015. He is affiliated with Florida Hospital Flagler, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043603764
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMITCHELL REYNOLDSCredential: CRNA
Location Address4100 PARK FOREST DR, SUITE 210Traverse City, MI 49684-7331
Mailing Address4100 Park Forest Dr, Suite 210Traverse City, MI 49684-7331 · (231) 935-5770 · Fax (231) 935-0747
Phone(231) 935-5770
Fax(231) 935-0747
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 5, 2015
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1043603764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MI · 4704282268✔ Licensed in IL · 209023353✔ Licensed in FL · APRN11020059
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 47404282268 (MI)
4100 PARK FOREST DR, Traverse City, MI 49684
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Secondary Practice Locations 3

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156
Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721
Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171

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

Mitchell Reynolds Crna 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 ID7012220627
PECOS Enrollment IDI20220819000615

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
29 services29 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SCOTT STONE CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MARK V GALAN M.D.
Internal Medicine (Gastroenterology)
4100 PARK FOREST DR, SUITE 208
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5710
MRS. JESSICA LEE HOORT CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8742
CHRISTINA DALTON PRYDE CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
BRIAN M KIESSLING M.D.
Anesthesiology
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
JONATHAN P GUNSBERG CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MICHELLE HODGES CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MONA L MACKEY CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770

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 Mitchell Reynolds's NPI number?

The NPI number for Mitchell Reynolds is 1043603764. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Where is Mitchell Reynolds located?

Mitchell Reynolds practices at 4100 Park Forest Dr Suite 210, Traverse City, MI 49684. The listed phone number is (231) 935-5770.

What is Mitchell Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mitchell Reynolds enrolled in Medicare?

Yes. Mitchell 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 Mitchell Reynolds affiliated with any hospitals?

According to CMS data, Mitchell Reynolds is affiliated with Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Mitchell Reynolds was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.