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ELISA REYNOLDS FNP-BC
NPI 1437031986
Nurse Practitioner - Family in Cameron Park, CA

Active since July 24, 2025PECOS EnrolledAccepts Medicare Assignment
3501 PALMER DR STE 201, CAMERON PARK, CA 95682(530) 672-7040 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elisa Reynolds Fnp-bc NPPES

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

ELISA REYNOLDS FNP-BC (NPI 1437031986) is an individual family provider in Cameron Park, California, licensed in California (95036332) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1437031986
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISA REYNOLDSCredential: FNP-BC
Location Address3501 PALMER DR STE 201Cameron Park, CA 95682-8276
Mailing Address602 Koru StSouth Lake Tahoe, CA 96150-5316 · (530) 414-1564
Phone(530) 672-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1437031986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95036332
3501 PALMER DR STE 201, Cameron Park, CA 95682
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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 and accepts Medicare assignment

Elisa Reynolds Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688163587
PECOS Enrollment IDI20251030002871
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 Reassignment

Medicare enrollment records show Elisa Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshall Medical Center
Same address
Gastroenterology
3501 PALMER DR STE 201
Cameron Park, CA 95682
  • Reassigned Medicare billing, California enrollment
  • 152 clinicians in this Medicare group
NPI 1619021201 (530) 672-7052

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 95682 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER DANIEL JAMES ROMBERG MD
Internal Medicine (Gastroenterology)
3501 PALMER DR STE 201
CAMERON PARK, CA 95682
El Dorado County (530) 626-2611
MAJD MICHAEL M.D.
Internal Medicine (Gastroenterology)
3501 PALMER DR STE 201
CAMERON PARK, CA 95682
El Dorado County (832) 712-7053
MARSHALL MEDICAL CENTER
Internal Medicine (Gastroenterology)
3501 PALMER DR STE 201
CAMERON PARK, CA 95682
El Dorado County (530) 672-7052
DR. WAI KAN CHIU M.D., PH.D.
Internal Medicine (Gastroenterology)
3501 PALMER DR STE 201
CAMERON PARK, CA 95682
El Dorado County (530) 626-2611
MATTHEW STEPHEN COLE M.D., M.P.H.
Internal Medicine (Gastroenterology)
3501 PALMER DR STE 201
CAMERON PARK, CA 95682
El Dorado County (530) 672-7060

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 Elisa Reynolds's NPI number?

The NPI number for Elisa Reynolds is 1437031986. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Elisa Reynolds located?

Elisa Reynolds practices at 3501 Palmer Dr Ste 201, Cameron Park, CA 95682. The listed phone number is (530) 672-7040.

What is Elisa Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elisa Reynolds enrolled in Medicare?

Yes. Elisa Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elisa Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Reynolds reassigns Medicare benefits to Marshall Medical Center (Cameron Park, CA). The 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 Elisa 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 Elisa Reynolds was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.