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MRS. LAKEISHA REYNOLDS NURSE PRACTITIONER
NPI 1205580131
Nurse Practitioner - Primary Care in Statesville, NC

Active since February 09, 2022PECOS Enrolled
160 MORNING DOVE LN, STATESVILLE, NC 28625(704) 500-7411 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Lakeisha Reynolds Nurse Practitioner NPPES

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

MRS. LAKEISHA REYNOLDS NURSE PRACTITIONER (NPI 1205580131) is an individual primary care provider in Statesville, North Carolina, licensed in North Carolina (BARE-COIQM) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205580131
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. LAKEISHA REYNOLDSCredential: NURSE PRACTITIONER
Location Address160 MORNING DOVE LNStatesville, NC 28625-2709
Mailing Address160 Morning Dove LnStatesville, NC 28625-2709 · (704) 500-7411
Phone(704) 500-7411
Sole ProprietorYes
Enumeration DateFebruary 9, 2022
NPPES CertifiedFebruary 5, 2022
✔ NPI 1205580131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · BARE-COIQM
160 MORNING DOVE LN, Statesville, NC 28625
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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)

Mrs. Lakeisha Reynolds Nurse Practitioner 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 Lakeisha Reynolds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Telos Health Systems Nc PLLC
19 mi
Internal Medicine
550 GLENWOOD DR
Mooresville, NC 28115
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Vitae Health Medical North Carolina PLLC
  • 121 clinicians in this Medicare group
NPI 1265064414 (201) 217-6777
Signify Health Medical Associates, PLLC
936 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Lakeisha Reynolds's NPI number?

The NPI number for Lakeisha Reynolds is 1205580131. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Lakeisha Reynolds located?

Lakeisha Reynolds practices at 160 Morning Dove Ln, Statesville, NC 28625. The listed phone number is (704) 500-7411.

What is Lakeisha Reynolds's specialty?

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

Is Lakeisha Reynolds enrolled in Medicare?

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

Which organizations bill Medicare for Lakeisha Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lakeisha Reynolds reassigns Medicare benefits to 2 organizations: Telos Health Systems Nc PLLC (Mooresville, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Lakeisha 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 Lakeisha Reynolds was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.