DANA REYNOLDS
NPI 1104282748
Nurse Practitioner - Primary Care in Jacksonville, FL

Q: What is Dana Reynolds's NPI number?

The NPI number for Dana Reynolds is 1104282748. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Q: What is Dana Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Dana Reynolds was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 12, 2016PECOS Enrolled

1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216(904) 899-4500 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Apr 27, 2026, Jan 12, 2016 (3 updates tracked since 2016).

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About Dana Reynolds NPPES

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

DANA REYNOLDS (NPI 1104282748) is an individual primary care provider in Jacksonville, Florida, licensed in California (95007394) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104282748

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameDANA REYNOLDS

Location Address1900 CORPORATE SQUARE BLVDJacksonville, FL 32216-1941

Mailing Address3795 Cardinal Oaks CirOrange Park, FL 32065-4250

Phone(904) 899-4500

Sole ProprietorNo

Enumeration DateJanuary 12, 2016

Last NPPES UpdateMay 20, 20263 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1104282748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95007394

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP9277467 (FL)

1900 CORPORATE SQUARE BLVD, Jacksonville, FL 32216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Reynolds 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.

Medicare Billing Reassignments

Medicare enrollment records show Dana Reynolds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cognitive Solutions LLC

637 mi

Clinical Neuropsychologist

10400 EATON PL STE 225
Fairfax, VA 22030

Reassigned Medicare billing, District of Columbia enrollment
2 clinicians in this Medicare group

NPI 1720316755 (202) 903-4763

Gloversville Physician Medicine Services PC

966 mi

Hospitalist

99 E STATE ST
Gloversville, NY 12078

Reassigned Medicare billing, New York enrollment
76 clinicians in this Medicare group

NPI 1487907630 (800) 893-9698

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

MRS. MARISSA P GARCIA MSH, R.D

Dietitian, Registered