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KIMBERLY L REYNOLDS NP-C
NPI 1942475256
Nurse Practitioner - Adult Health in Hackensack, NJ

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2868 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly L Reynolds Np-c NPPES

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

KIMBERLY L REYNOLDS NP-C (NPI 1942475256) is an individual adult health provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00152900) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florham Park, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1942475256
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY L REYNOLDSCredential: NP-C
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address61 Tristan RdClifton, NJ 07013-1440 · (862) 264-4477
Phone(551) 996-2868
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 28, 2008
Last NPPES UpdateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1942475256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00152900
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00152900 (NJ)
30 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1150 Park AveFlorham Park, NJ 07932-1049 · Phone (973) 404-9980 · Fax (973) 267-7295

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

Kimberly L Reynolds Np-c 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 ID6002005758
PECOS Enrollment IDI20110111000506
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 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

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 Kimberly Reynolds's NPI number?

The NPI number for Kimberly Reynolds is 1942475256. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Kimberly Reynolds located?

Kimberly Reynolds practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2868.

What is Kimberly Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Reynolds enrolled in Medicare?

Yes. Kimberly 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.

When was this NPI record last updated?

The NPPES record for Kimberly Reynolds was last updated on August 26, 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.