Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. ISHARON BENYETTE REYNOLDS NP-C
NPI 1962914366
Nurse Practitioner - Family in Detroit, MI

Q: What is Isharon Reynolds's NPI number?

The NPI number for Isharon Reynolds is 1962914366. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Q: What is Isharon Reynolds's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Isharon Reynolds was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 26, 2017PECOS Enrolled

2111 WOODWARD AVE STE 1200, DETROIT, MI 48201(313) 488-4332(313) 488-4332 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jan 29, 2026, May 28, 2025 and 3 more (6 updates tracked since 2017).

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About Ms. Isharon Benyette Reynolds Np-c NPPES

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

MS. ISHARON BENYETTE REYNOLDS NP-C (NPI 1962914366) is an individual family provider in Detroit, Michigan, licensed in Ohio (APRN.CNP.023310) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962914366

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ISHARON BENYETTE REYNOLDSCredential: NP-C

Location Address2111 WOODWARD AVE STE 1200Detroit, MI 48201-3415

Mailing Address3100 S Greyfriar StDetroit, MI 48217-1072 · (313) 629-9330

Phone(313) 488-4332

Fax(313) 488-4332

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 26, 2017

Last NPPES UpdateJuly 24, 20266 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1962914366 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

Licenses✔ Licensed in OH · APRN.CNP.023310✔ Licensed in MI · 4704361588✔ Licensed in CT · 15317✔ Licensed in KY · 1178930

2111 WOODWARD AVE STE 1200, Detroit, MI 48201

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Secondary Practice Location 1

Location 110553 Saint Clair AveCleveland, OH 44108-1973 · Phone (216) 682-7702 · Fax (216) 920-6273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Isharon Benyette Reynolds Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385902915

PECOS Enrollment IDI20260216000838

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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 7

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers30 claims920 services$4.78 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

3 suppliers30 claims14,305 services$0.58 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers16 claims16 services$63.25 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers19 claims19 services$42.17 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.62 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$56.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

MS. CECILIA ROSE-MARIE GARCIA PA-C

Physician Assistant (Medical)