CASSANDRA REYES
NPI 1558110395
Nurse Practitioner in Park City, UT

Q: What is Cassandra Reyes's NPI number?

The NPI number for Cassandra Reyes is 1558110395. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Q: What is Cassandra Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cassandra Reyes was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 14, 2024PECOS EnrolledAccepts Medicare Assignment

750 ROUND VALLEY DR STE 201, PARK CITY, UT 84060(435) 649-7680 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 22, 2025, May 14, 2024 (2 updates tracked since 2024).

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About Cassandra Reyes NPPES

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

CASSANDRA REYES (NPI 1558110395) is an individual nurse practitioner in Park City, Utah, licensed in Utah (11932174-3102) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1558110395

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCASSANDRA REYES

Location Address750 ROUND VALLEY DR STE 201Park City, UT 84060-7549

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 649-7680

Phone(435) 649-7680

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 14, 2024

Last NPPES UpdateMay 22, 20252 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1558110395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 11932174-3102

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 11932174-3102 (UT)

750 ROUND VALLEY DR STE 201, Park City, UT 84060

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Secondary Practice Location 1

Location 110 S 2000 ESalt Lake City, UT 84112-5880 · Phone (801) 581-3414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Reyes 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 ID4688180276

PECOS Enrollment IDI20250721003388

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park City Hospital

Acute Care Hospitals · Park City, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460057

Location900 Round Valley DrivePark City, UT 84060 · Summit County

Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461307

Location454 East Medical WayHeber City, UT 84032 · Wasatch County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84060 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 9

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

DR. ERIN GURNEY PHARMD

Pharmacist