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APRIL REYNOLDS FNP
NPI 1609219211
Nurse Practitioner - Family in Great Falls, MT

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
500 15TH AVE S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Feb 7, 2023 (2 updates tracked since 2023).

About April Reynolds Fnp NPPES

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

APRIL REYNOLDS FNP (NPI 1609219211) is an individual family provider in Great Falls, Montana, licensed in Montana (203026) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1609219211
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAPRIL REYNOLDSCredential: FNP
Location Address500 15TH AVE SGreat Falls, MT 59405-4324
Mailing Address162 Eastgate WayManchester, NH 03109-5220
Phone(406) 731-8888
Fax(406) 731-8318
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 12, 2013
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1609219211 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
Licenses✔ Licensed in MT · 203026✔ Licensed in NH · 058796-23
500 15TH AVE S, Great Falls, MT 59405
Open in Google Maps ↗

Secondary Practice Location 1

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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

April Reynolds Fnp 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 ID3274768783
PECOS Enrollment IDI20230310000553
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
241 services224 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
139 services89 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services50 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%110 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers37 claims37 services$40.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers29 claims29 services$103.17 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers33 claims99 services$40.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers35 claims134 services$20.61 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers12 claims72 services$12.09 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers39 claims39 services$60.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHARLES D JENNINGS M.D.
Specialist
500 15TH AVE S, SUITE 1
GREAT FALLS, MT 59405
Cascade County (406) 455-3650
LEIGHA WELSH SLP
Speech-Language Pathologist
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 455-2200
JASON D. GRENSTEN M.S.P.T.
Physical Therapist
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 771-4788
MR. JAMES D HINDE MD
Physical Medicine & Rehabilitation
500 15TH AVE S, SUITE ONE
GREAT FALLS, MT 59405
Cascade County (406) 455-2149
AIMEE V HACHIGIAN MD, PC
Specialist
500 15TH AVE S, STE. G 12
GREAT FALLS, MT 59405
Cascade County (406) 731-8080
HALEY FRIELING LCSW
Social Worker (Clinical)
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 455-2282
DR. PATRICK EDWARD GALVAS D.O., PH.D.
Physical Medicine & Rehabilitation
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 761-3767
JESSE F LOPEZ M.P.T.
Physical Therapist
500 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 455-2661

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 April Reynolds's NPI number?

The NPI number for April Reynolds is 1609219211. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is April Reynolds located?

April Reynolds practices at 500 15th Ave S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is April Reynolds's specialty?

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

Is April Reynolds enrolled in Medicare?

Yes. April 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.

What insurance does April Reynolds accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list April Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is April Reynolds affiliated with any hospitals?

According to CMS data, April Reynolds is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for April Reynolds was last updated on April 8, 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.