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MR. JOEL WAYNE REYNOLDS PAC
NPI 1134157233
Physician Assistant - Medical in Deadwood, SD

Active since June 28, 2006PECOS Enrolled
61 CHARLES ST, DEADWOOD, SD 57732(605) 722-6101(605) 719-6133 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Joel Wayne Reynolds Pac NPPES

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

MR. JOEL WAYNE REYNOLDS PAC (NPI 1134157233) is an individual medical provider in Deadwood, South Dakota, licensed in South Dakota (0548) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134157233
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOEL WAYNE REYNOLDSCredential: PAC
Location Address61 CHARLES STDeadwood, SD 57732-1303
Mailing Address353 Fairmont Blvd, Atten MssRapid City, SD 57701-7375
Phone(605) 722-6101
Fax(605) 719-6133
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1134157233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SD · 0548
61 CHARLES ST, Deadwood, SD 57732
Open in Google Maps ↗

Other Identifiers 2

Medicare PINS105124
Medicare UPINQ08276SD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joel Wayne Reynolds Pac 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services66 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services21 patients

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.

BRETT M JOHNSON PA-C
Physician Assistant
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 717-6000
MRS. LORRAINE DOROTHY GUKEISEN RN
Registered Nurse (Medical-Surgical)
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 717-6000
KAREN K MURPHY CNP
Nurse Practitioner
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 722-6101
REGIONAL HEALTH NETWORK, INC.
Clinical Medical Laboratory
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 717-6000
MONUMENT HEALTH NETWORK, INC.
General Acute Care Hospital (Critical Access)
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 717-6000
JIM HERMELING OT
Occupational Therapist
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 722-6101
MONUMENT HEALTH NETWORK, INC.
Clinic/Center (Multi-Specialty)
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 722-6101
NICHOLAS LIMING PT
Physical Therapist
61 CHARLES ST
DEADWOOD, SD 57732
Lawrence County (605) 722-6101

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 Joel Reynolds's NPI number?

The NPI number for Joel Reynolds is 1134157233. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Joel Reynolds located?

Joel Reynolds practices at 61 Charles St, Deadwood, SD 57732. The listed phone number is (605) 722-6101.

What is Joel Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Joel Reynolds enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joel Reynolds was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.