MIKI DENEISE REYNOLDS NURSE PRACTITIONER
NPI 1700411311
Nurse Practitioner - Family in Russellville, AR

Active since March 04, 2020PECOS EnrolledAccepts Medicare Assignment
2600 W MAIN ST, RUSSELLVILLE, AR 72801(833) 479-4325 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, May 26, 2023, Feb 24, 2021 and 1 more (4 updates tracked since 2020).

About Miki Deneise Reynolds Nurse Practitioner NPPES

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

MIKI DENEISE REYNOLDS NURSE PRACTITIONER (NPI 1700411311) is an individual family provider in Russellville, Arkansas, licensed in Arkansas (123647) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700411311
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIKI DENEISE REYNOLDSCredential: NURSE PRACTITIONER
Location Address2600 W MAIN STRussellville, AR 72801-2535
Mailing Address2600 W Main StRussellville, AR 72801-2535 · (833) 479-4325
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 4, 2020
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1700411311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · 123647
2600 W MAIN ST, Russellville, AR 72801

Other Names 1

Other Name (5)Miki Deneise Robinson Nurse Practitioner

Other Identifiers 1

Medicaid259410758AR

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

Miki Deneise Reynolds Nurse Practitioner 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 ID8820416068
PECOS Enrollment IDI20200921000152
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72801 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$2.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Multi-Specialty)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Counselor (Mental Health)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Psychiatric/Mental Health)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Family Medicine (Addiction Medicine)
2600 W MAIN ST
RUSSELLVILLE, AR 72801

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 Miki Reynolds's NPI number?

The NPI number for Miki Reynolds is 1700411311. It was assigned to this individual provider in the NPPES registry on March 4, 2020. The provider is also known as Miki Deneise Robinson Nurse Practitioner.

Where is Miki Reynolds located?

Miki Reynolds practices at 2600 W Main St, Russellville, AR 72801. The listed phone number is (833) 479-4325.

What is Miki Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miki Reynolds enrolled in Medicare?

Yes. Miki 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 Miki Reynolds accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Miki 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 Miki Reynolds was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.