1. Home
  2. Directory
  3. California
  4. Walnut Creek
  5. Physician Assistant
  6. NPI Profile

JODI REYNOLDS P.A.
NPI 1063629111
Physician Assistant in Walnut Creek, CA

Active since May 17, 2007PECOS Enrolled
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4130 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jodi Reynolds P.a. NPPES

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

JODI REYNOLDS P.A. (NPI 1063629111) is an individual physician assistant in Walnut Creek, California, licensed in California (PA19068) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063629111
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJODI REYNOLDSCredential: P.A.
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address7603 Corrinne PlSan Ramon, CA 94583-4008
Phone(925) 295-4130
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 1, 2011
✔ NPI 1063629111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA19068
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1425 S MAIN ST, Walnut Creek, CA 94596
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Reynolds P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

BROOK ANDREW WOOLLEY M.D.
Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5100
DR. THOMAS CRESANTE D.O.
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4643
SARA WON MD
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4040
KAISER PERMANENTE
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
MICHELLE CABLE VU CRNA
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
DR. JESUS GIL JIMENEZ MD
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4110
MR. EDWARD HAL PIECZENIK L.C.S.W.
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5237
CARLOS A. CROMEYER MD
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000

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 Jodi Reynolds's NPI number?

The NPI number for Jodi Reynolds is 1063629111. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Jodi Reynolds located?

Jodi Reynolds practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4130.

What is Jodi Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jodi Reynolds enrolled in Medicare?

Yes. Jodi Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodi Reynolds was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.