1. Home
  2. Directory
  3. Florida
  4. Riverview
  5. Nurse Practitioner
  6. NPI Profile

SANDRA MAE REYNOLDS PMHNP-BC
NPI 1619832060
Nurse Practitioner - Psychiatric/Mental Health in Riverview, FL

Active since December 18, 2025PECOS Enrolled
3905 CRESCENT PARK DR, RIVERVIEW, FL 33578(813) 580-5000 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2026, Jan 31, 2026, Jan 23, 2026 and 1 more (4 updates tracked since 2025).

About Sandra Mae Reynolds Pmhnp-bc NPPES

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

SANDRA MAE REYNOLDS PMHNP-BC (NPI 1619832060) is an individual psychiatric/mental health provider in Riverview, Florida, licensed in Florida (APRN11045075) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Temple Terrace, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619832060
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA MAE REYNOLDSCredential: PMHNP-BC
Location Address3905 CRESCENT PARK DRRiverview, FL 33578-3625
Mailing Address3905 Crescent Park DrRiverview, FL 33578-3625 · (813) 580-5000
Phone(813) 580-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2025
Last NPPES UpdateApril 10, 20264 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1619832060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11045075
3905 CRESCENT PARK DR, Riverview, FL 33578
Open in Google Maps ↗

Secondary Practice Location 1

Location 113101 Telecom Dr Ste 120Temple Terrace, FL 33637-0936 · Phone (813) 384-7855

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Mae Reynolds Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416423462
PECOS Enrollment IDI20260416003108
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33578 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

NOVA MENTALITY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
3905 CRESCENT PARK DR
RIVERVIEW, FL 33578
Hillsborough County (813) 580-5000

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 Sandra Reynolds's NPI number?

The NPI number for Sandra Reynolds is 1619832060. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Sandra Reynolds located?

Sandra Reynolds practices at 3905 Crescent Park Dr, Riverview, FL 33578. The listed phone number is (813) 580-5000.

What is Sandra Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandra Reynolds enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sandra Reynolds was last updated on April 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.