MICHELLE REYNOLDS MD
NPI 1669906053
Student in an Organized Health Care Education/Training Program in Tyler, MN
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michelle Reynolds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Michelle Reynolds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, MN 56178
- Reassigned Medicare billing, Minnesota enrollment
- 35 clinicians in this Medicare group
Ivanhoe, MN 56142
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1568401016 (Minnesota)
- 260 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNAvera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNMedicare 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Michelle Reynolds's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Reynolds reassigns Medicare benefits to 2 organizations: Avera Tyler (Tyler, MN) and Avera Marshall (Ivanhoe, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Reynolds accept?
Health plans from Avera Health Plans 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 6 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.
# Michelle Reynolds, MD · NPI 1669906053
Student in an Organized Health Care Education/Training Program provider in Tyler, Minnesota. Individual provider, active in the CMS NPPES registry since April 12, 2017.
## Identity
- **NPI:** 1669906053 (Entity type: Individual)
- **Enumerated:** April 12, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 240 WILLOW ST, Tyler, MN 56178-1201
- **Phone:** (507) 247-5521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Avera Tyler (NPI 1801840517, Tyler, MN); Avera Marshall (NPI 1902246168, Ivanhoe, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** October 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1669906053) · Data from the CMS NPPES public registry.