MOLLIE REYNOLDS
NPI 1780569137
Nurse Practitioner - Family in Brandon, MS
About Mollie Reynolds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLIE REYNOLDS (NPI 1780569137) is an individual family provider in Brandon, Mississippi, licensed in Mississippi (907663) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mollie 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.
Medicare Billing Reassignment
Medicare enrollment records show Mollie Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 13 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.
Mississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSMerit Health River Oaks
Acute Care Hospitals · Flowood, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mollie Reynolds's NPI number?
The NPI number for Mollie Reynolds is 1780569137. It was assigned to this individual provider in the NPPES registry on August 6, 2025.
Where is Mollie Reynolds located?
Mollie Reynolds practices at 614 E Abbey Pl, Brandon, MS 39047. The listed phone number is (601) 750-6687.
What is Mollie Reynolds's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mollie Reynolds enrolled in Medicare?
Yes. Mollie 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.
Which organization bills Medicare for Mollie Reynolds's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mollie Reynolds reassigns Medicare benefits to Mississippi Urology Clinic, PLLC (Jackson, MS). The 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 Mollie Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mollie Reynolds accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Mollie 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 Mollie Reynolds affiliated with any hospitals?
According to CMS data, Mollie Reynolds is affiliated with Mississippi Baptist Medical Center and Merit Health River Oaks.
When was this NPI record last updated?
The NPPES record for Mollie Reynolds was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mollie Reynolds · NPI 1780569137
Family physician in Brandon, Mississippi. Individual provider, active in the CMS NPPES registry since August 6, 2025.
## Identity
- **NPI:** 1780569137 (Entity type: Individual)
- **Enumerated:** August 6, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907663 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 614 E ABBEY PL, Brandon, MS 39047-6029
- **Phone:** (601) 750-6687 · **Fax:** (601) 750-6687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mississippi Urology Clinic, PLLC (NPI 1902837313, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780569137) · Data from the CMS NPPES public registry.