Andrew Y Reynolds (NPI# 1699731901, PAC ID# 3476512245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1699731901 |
| PAC ID by PECOS | 3476512245 |
| Professional Enrollment ID | I20041007000184 |
| Full Name | Andrew Y Reynolds |
| Organization Legal Name | AVERA QUEEN OF PEACE |
| Address |
1900 Grassland Dr Mitchell SD 57301-6205 |
| Phone Number | 6059957000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9335050806 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281322 | ST FRANCIS MEMORIAL HOSPITAL |
| 281325 | BROWN COUNTY HOSPITAL |
| 280125 | FAITH REGIONAL HEALTH SERVICES |
| 430013 | AVERA QUEEN OF PEACE |
| Address | Phone | Organization |
|---|---|---|
| 1900 Grassland Dr, Mitchell, SD 57301-6205 | 6059957000 | AVERA QUEEN OF PEACE |
| 102 W 9th St, Antelope Memorial Hospital, Neligh, NE 68756-1182 | 4028874151 | NMG LLC |
| 2700 W Norfolk Ave, Faith Regional Health Services, Norfolk, NE 68701-4438 | 4023714880 | NMG LLC |
| 301 N 27th St, 3 Faith Regional Surgery Center, Norfolk, NE 68701-4457 | 4026447262 | NMG LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | AVERA QUEEN OF PEACE |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Almeida | Podiatry | Avera Queen of Peace | 625 N Foster St, Avera Orth Assc Mitc, Mitchell, SD 57301-2969 |
| Jodie L Miller | Nurse Practitioner | Avera Queen of Peace | 605 N Foster St, Mitchell, SD 57301-2902 |
| Keri D Nebelsick | Optometry | Avera Queen of Peace | 211 E Havens Ave, Avera Med Grp Optomy, Mitchell, SD 57301-4402 |
| John A Lyle | Certified Registered Nurse Anesthetist (crna) | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Aaron P Baas | General Surgery | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Brandon J Wegehaupt | Physician Assistant | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| James L Nielsen | Emergency Medicine | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Sheryl R Roesler | Certified Registered Nurse Anesthetist (crna) | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Susan K Olson | Nurse Practitioner | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Clinton L Seifert | General Surgery | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Street Address |
1900 GRASSLAND DR |
| City | MITCHELL |
| State | SD |
| Zip | 57301-6205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Mae Campbell | Family Medicine | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Heidi M Gehrke | Nurse Practitioner | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Angela M Broughton | Nurse Practitioner | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Amelia K Rew | Physician Assistant | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Jonathan C Olegario | Internal Medicine | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Laura J Axsom | Nurse Practitioner | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| David A Balt | Family Medicine | Avera Queen of Peace | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Amelia J Klimisch | Nurse Practitioner | Avera Queen of Peace | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Matthew D Christiansen | Psychologist, Clinical | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Lucio N Margallo | Internal Medicine | Rural Health Care Inc | 1900 Grassland Dr, Mitchell, SD 57301-6205 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca A Studelska | Chiropractic | 950 Commerce St, 102 Studelska Chiropractic and Acupuncture, Mitchell, SD 57301-0923 | |
| Jeff Peter Krall | Optometry | Krall Optometric Prof LLC | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 |
| Phillip John Becker Ii | Optometry | Krall Optometric Prof LLC | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 |
| Joe James Krall | Optometry | Krall Optometric Prof LLC | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 |
| Craig A Pickart | Chiropractic | Roger Dean Prill Jr. | 1501 N Main St, Mitchell, SD 57301-1017 |
| Roger D Prill Jr. | Chiropractic | Roger Dean Prill Jr. | 1501 N Main St, Mitchell, SD 57301-1017 |
| Tiffany D Thiesse | Chiropractic | 1224 N Sanborn, Mitchell, SD 57301-1347 | |
| Kristin J Bietz | Nurse Practitioner | Prairie Family Healthcare, P.C. | 120 W 6th Ave, Mitchell, SD 57301-1920 |
| Diane L Kenkel | Nurse Practitioner | Prairie Family Healthcare, P.C. | 120 W 6th Ave, Mitchell, SD 57301-1920 |
| Ray Thomas Birkenkamp | Ophthalmology | Mabee Clinic Ltd | 305 N Sanborn Blvd, Mitchell, SD 57301-2449 |
| Find all physicians in zip 57301 | |||
| City | MITCHELL |
| Zip Code | 57301 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MITCHELL + GENERAL SURGERY |
Please comment or provide details below to improve the information on Andrew Y Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.