MS. PHOENIX DAWN REYNOLDS
NPI 1689462012
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Q: What is Phoenix Reynolds's NPI number?

The NPI number for Phoenix Reynolds is 1689462012. It was assigned to this individual provider in the NPPES registry on April 26, 2025.

Q: What is Phoenix 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 Phoenix Reynolds was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 26, 2025PECOS EnrolledAccepts Medicare Assignment

4141 N 156TH ST STE 2022, OMAHA, NE 68116(402) 838-2321(402) 702-0586 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2025, Aug 14, 2025 (2 updates tracked since 2025).

On this page

About Ms. Phoenix Dawn Reynolds NPPES

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

MS. PHOENIX DAWN REYNOLDS (NPI 1689462012) is an individual psychiatric/mental health provider in Omaha, Nebraska, licensed in Florida (APRN11039061) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689462012

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. PHOENIX DAWN REYNOLDS

Location Address4141 N 156TH ST STE 2022Omaha, NE 68116-1440

Mailing Address8340 Sw 65th Ave Apt 7Miami, FL 33143-7948 · (786) 521-5824

Phone(402) 838-2321

Fax(402) 702-0586

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 26, 2025

Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1689462012 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 · APRN11039061

4141 N 156TH ST STE 2022, Omaha, NE 68116

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Ms. Phoenix Dawn 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 ID7517473556

PECOS Enrollment IDI20250717004005

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 68116 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

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 Phoenix Reynolds's NPI number?

The NPI number for Phoenix Reynolds is 1689462012. It was assigned to this individual provider in the NPPES registry on April 26, 2025.

Where is Phoenix Reynolds located?

Phoenix Reynolds practices at 4141 N 156th St Ste 2022, Omaha, NE 68116. The listed phone number is (402) 838-2321.

What is Phoenix Reynolds's specialty?

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

Is Phoenix Reynolds enrolled in Medicare?

Yes. Phoenix 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 Phoenix Reynolds accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 2 other insurers list Phoenix 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 Phoenix Reynolds was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.