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STACY LYNN REYNOLDS MD
NPI 1194910299
Pediatrics - Pediatric Emergency Medicine in Charlotte, NC

Active since September 11, 2007PECOS Enrolled
95.35/100
CMS Quality Rating
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2016).

About Stacy Lynn Reynolds Md NPPES

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

STACY LYNN REYNOLDS MD (NPI 1194910299) is an individual pediatric emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2008-00675) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194910299
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameSTACY LYNN REYNOLDSCredential: MD
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-2171
Sole ProprietorNo
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration
✔ NPI 1194910299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NC · 2008-00675
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2008-00675 (NC)
Also ListedPediatricsTaxonomy 208000000X · License 2008-00675 (NC)
1000 BLYTHE BLVD, Charlotte, NC 28203
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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)

Stacy Lynn Reynolds Md 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

2

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

Carolinas Medical Center
Same address
General Acute Care Hospital
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1295789907 (704) 355-2000
Wake Forest Emergency Providers
41 mi
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
NPI 1396216735 (336) 716-2255

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
BROOKE STEPHANIK
Pharmacist (Pediatrics)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000

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 Stacy Reynolds's NPI number?

The NPI number for Stacy Reynolds is 1194910299. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Stacy Reynolds located?

Stacy Reynolds practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-2171.

What is Stacy Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Stacy Reynolds enrolled in Medicare?

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

Which organizations bill Medicare for Stacy Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Reynolds reassigns Medicare benefits to 2 organizations: Carolinas Medical Center (Charlotte, NC) and Wake Forest Emergency Providers (Statesville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Reynolds was last updated on July 15, 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.