TATUM J REYNOLDS APN
NPI 1992316376
Nurse Practitioner - Family in Springfield, IL
About Tatum J Reynolds Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATUM J REYNOLDS APN (NPI 1992316376) is an individual family provider in Springfield, Illinois, licensed in Illinois (209021803) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tatum J Reynolds Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
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 Tatum Reynolds's NPI number?
The NPI number for Tatum Reynolds is 1992316376. It was assigned to this individual provider in the NPPES registry on August 11, 2020. The provider is also known as Tatum J Johnson.
Where is Tatum Reynolds located?
Tatum Reynolds practices at 1301 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 547-9100.
What is Tatum Reynolds's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tatum Reynolds enrolled in Medicare?
Yes. Tatum Reynolds is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tatum Reynolds was last updated on April 28, 2022. 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.
# Tatum J Reynolds, APN · NPI 1992316376
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since August 11, 2020.
## Identity
- **NPI:** 1992316376 (Entity type: Individual)
- **Enumerated:** August 11, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209021803 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 S KOKE MILL RD, Springfield, IL 62711-9252
- **Phone:** (217) 547-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 28, 2022
- **Other identifiers:** Other 041402681 (IL); Other 209021803 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1992316376) · Data from the CMS NPPES public registry.