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HEATHER REYNOLDS PA-C
NPI 1447655063
Physician Assistant - Medical in Ivins, UT

Active since October 24, 2014Opted out of Medicare · through Jul 1, 2027
3705 N 6100 W, IVINS, UT 84738(435) 688-8198 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather Reynolds Pa-c NPPES

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

HEATHER REYNOLDS PA-C (NPI 1447655063) is an individual medical provider in Ivins, Utah, licensed in Utah (352929-1206) and active in the NPI registry since October 2014. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447655063
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEATHER REYNOLDSCredential: PA-C
Location Address3705 N 6100 WIvins, UT 84738
Mailing Address22 W 23rd St Fl 5New York, NY 10010-5240
Phone(435) 688-8198
Sole ProprietorYes
Enumeration DateOctober 24, 2014
Last NPPES UpdateJanuary 10, 2020
✔ NPI 1447655063 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 UT · 352929-1206
3705 N 6100 W, Ivins, UT 84738
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather Reynolds Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

PAIUTE INDIAN TRIBE OF UTAH
Prosthetic/Orthotic Supplier
3705 N 6100 W
IVINS, UT 84738
Washington County (435) 688-8198

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 Heather Reynolds's NPI number?

The NPI number for Heather Reynolds is 1447655063. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Heather Reynolds located?

Heather Reynolds practices at 3705 N 6100 W, Ivins, UT 84738. The listed phone number is (435) 688-8198.

What is Heather Reynolds's specialty?

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

Is Heather Reynolds enrolled in Medicare?

No. Heather Reynolds has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Heather Reynolds was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.