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MCKENZIE VI REYNOLDS
NPI 1902415219
Physician Assistant in Santa Clara, UT

Active since July 23, 2020PECOS Enrolled
786 LEDA LN, SANTA CLARA, UT 84765(425) 315-5702 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Jul 24, 2021, Jul 23, 2020 (3 updates tracked since 2020).

About Mckenzie Vi Reynolds NPPES

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

MCKENZIE VI REYNOLDS (NPI 1902415219) is an individual physician assistant in Santa Clara, Utah, licensed in Utah (12474301-1206) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902415219
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENZIE VI REYNOLDS
Location Address786 LEDA LNSanta Clara, UT 84765-5665
Mailing Address786 Leda LnSanta Clara, UT 84765-5665 · (425) 315-5702
Phone(425) 315-5702
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1902415219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 12474301-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
786 LEDA LN, Santa Clara, UT 84765
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Vi Reynolds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84765 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 Mckenzie Reynolds's NPI number?

The NPI number for Mckenzie Reynolds is 1902415219. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Mckenzie Reynolds located?

Mckenzie Reynolds practices at 786 Leda Ln, Santa Clara, UT 84765. The listed phone number is (425) 315-5702.

What is Mckenzie Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mckenzie Reynolds enrolled in Medicare?

Yes. Mckenzie Reynolds is registered in the Medicare PECOS enrollment system.

What insurance does Mckenzie Reynolds accept?

Health plans from University of Utah Health Plans list Mckenzie 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 Mckenzie Reynolds was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.