MICHELLE REYNOLDS MD
NPI 1669906053
Student in an Organized Health Care Education/Training Program in Tyler, MN

Active since April 12, 2017PECOS Enrolled
96.76/100
CMS Quality Rating
240 WILLOW ST, TYLER, MN 56178(507) 247-5521 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2020, Aug 13, 2020, Apr 12, 2017 (3 updates tracked since 2017).

About Michelle Reynolds Md NPPES

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

MICHELLE REYNOLDS MD (NPI 1669906053) is an individual student in an organized health care education/training program in Tyler, Minnesota and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Avera Tyler Hospital, and is a graduate of West Virginia University School Of Medicine (2017).

NPPES Registry Identity

NPI1669906053
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE REYNOLDSCredential: MD
Location Address240 WILLOW STTyler, MN 56178-1201
Mailing Address240 Willow StTyler, MN 56178-1201
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1669906053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 68255 (MN)
240 WILLOW ST, Tyler, MN 56178

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8123398807
PECOS Enrollment IDI20210125000422
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.

Avera Tyler Hospital

Critical Access Hospitals · Tyler, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241348
Location240 Willow StreetTyler, MN 56178 · Lincoln County
Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

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.

96.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.21
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Occupational Therapy Assistant
240 WILLOW ST
TYLER, MN 56178
Family Medicine
240 WILLOW ST
TYLER, MN 56178
Family Medicine
240 WILLOW ST
TYLER, MN 56178
Physical Therapist
240 WILLOW ST
TYLER, MN 56178
Nurse Practitioner (Family)
240 WILLOW ST
TYLER, MN 56178
Internal Medicine (Endocrinology, Diabetes & Metabolism)
240 WILLOW ST
TYLER, MN 56178
Nurse Practitioner
240 WILLOW ST
TYLER, MN 56178
General Practice
240 WILLOW ST
TYLER, MN 56178

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 Michelle Reynolds's NPI number?

The NPI number for Michelle Reynolds is 1669906053. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Michelle Reynolds located?

Michelle Reynolds practices at 240 Willow St, Tyler, MN 56178. The listed phone number is (507) 247-5521.

What is Michelle Reynolds's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michelle Reynolds enrolled in Medicare?

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

What insurance does Michelle Reynolds accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Michelle 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 Michelle Reynolds affiliated with any hospitals?

According to CMS data, Michelle Reynolds is affiliated with Avera Tyler Hospital and Avera Marshall Regional Medical Ctr.

When was this NPI record last updated?

The NPPES record for Michelle Reynolds was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.