CHARLENE REYNOLDS APRN
NPI 1629617774
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Charlene Reynolds's NPI number?

The NPI number for Charlene Reynolds is 1629617774. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Q: What is Charlene Reynolds's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charlene Reynolds was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 06, 2020PECOS Enrolled

3333 W 20TH ST, JACKSONVILLE, FL 32254(904) 695-9145(904) 695-2465 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Mar 12, 2025, Jun 12, 2023 and 4 more (7 updates tracked since 2020).

On this page

About Charlene Reynolds Aprn NPPES

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

CHARLENE REYNOLDS APRN (NPI 1629617774) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11009388) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629617774

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHARLENE REYNOLDSCredential: APRN

Location Address3333 W 20TH STJacksonville, FL 32254-1703

Mailing Address3333 W 20th StJacksonville, FL 32254-1703 · (904) 695-9145 · Fax (904) 695-2465

Phone(904) 695-9145

Fax(904) 695-2465

Sole ProprietorYes

Enumeration DateJanuary 6, 2020

Last NPPES UpdateAugust 5, 20267 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1629617774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · APRN11009388✔ Licensed in IL · 209022748

Also ListedRegistered NurseTaxonomy 163W00000X · License 041431448 (IL), RN9423089 (FL)

3333 W 20TH ST, Jacksonville, FL 32254

Open in Google Maps ↗

Other Identifiers 1

Medicaid108934400FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlene Reynolds Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Charlene Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tbj Behavioral Center LLC

9.0 mi

Psychiatric Hospital

6300 BEACH BLVD
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
43 clinicians in this Medicare group

NPI 1568633683 (904) 724-9202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32254 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 20

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

MRS. ALICIA JUDITH COOPER BS

Social Worker