MR. ALEX RICHARD REYNOLDS PA-C
NPI 1043784432
Physician Assistant - Surgical in Fort Myers, FL

Q: What is Alex Reynolds's NPI number?

The NPI number for Alex Reynolds is 1043784432. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Q: What is Alex Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Alex Reynolds was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 18, 2019PECOS EnrolledAccepts Medicare Assignment

12700 CREEKSIDE LN STE 301, FORT MYERS, FL 33919(239) 343-3780(239) 343-3781 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Sep 14, 2022, Sep 6, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Mr. Alex Richard Reynolds Pa-c NPPES

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

MR. ALEX RICHARD REYNOLDS PA-C (NPI 1043784432) is an individual surgical provider in Fort Myers, Florida, licensed in Florida (PA9111617) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1043784432

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. ALEX RICHARD REYNOLDSCredential: PA-C

Location Address12700 CREEKSIDE LN STE 301Fort Myers, FL 33919-3356

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3780 · Fax (239) 343-3781

Phone(239) 343-3780

Fax(239) 343-3781

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 18, 2019

Last NPPES UpdateJuly 2, 20245 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1043784432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9111617

12700 CREEKSIDE LN STE 301, Fort Myers, FL 33919

Open in Google Maps ↗

Secondary Practice Location 1

Location 17331 College Pkwy Ste 300Fort Myers, FL 33907-5524 · Phone (239) 337-2003 · Fax (239) 337-3168

Other Identifiers 1

OtherPA9111617FL · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Mr. Alex Richard Reynolds Pa-c 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 ID749528024

PECOS Enrollment IDI20190212000990

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

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 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.

42 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

ANDREW PAUL VAN SICKLER M.D.

Surgery (Vascular Surgery)