Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAEL JO REYNOLDS
NPI 1689332769
Nurse Practitioner - Psychiatric/Mental Health in Ammon, ID

Active since December 06, 2021PECOS EnrolledAccepts Medicare Assignment
2705 E 17TH ST, AMMON, ID 83406(208) 346-7522 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Dec 29, 2021, Dec 6, 2021 (3 updates tracked since 2021).

About Lael Jo Reynolds NPPES

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

LAEL JO REYNOLDS (NPI 1689332769) is an individual psychiatric/mental health provider in Ammon, Idaho, licensed in Idaho (71578) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rexburg, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689332769
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAEL JO REYNOLDS
Location Address2705 E 17TH STAmmon, ID 83406-6601
Mailing Address4034 E Fairway DrRigby, ID 83442-5271 · (208) 206-0692
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1689332769 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 ID · 71578
2705 E 17TH ST, Ammon, ID 83406

Secondary Practice Location 1

Location 133 Madison Professional ParkRexburg, ID 83440-2057 · Phone (208) 243-9304

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 and accepts Medicare assignment

Lael Jo Reynolds 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 ID6204221955
PECOS Enrollment IDI20220317000962
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 83406 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406

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 Lael Reynolds's NPI number?

The NPI number for Lael Reynolds is 1689332769. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Lael Reynolds located?

Lael Reynolds practices at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7522.

What is Lael Reynolds's specialty?

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

Is Lael Reynolds enrolled in Medicare?

Yes. Lael 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 Lael Reynolds accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Lael 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.

When was this NPI record last updated?

The NPPES record for Lael Reynolds was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.