MS. ISHARON BENYETTE REYNOLDS NP-C NPI 1962914366

NPI Information

  • NPI: 1962914366
  • Provider Name: MS. ISHARON BENYETTE REYNOLDS, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2111 WOODWARD AVE STE 1200
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 488-4332

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NPI Details

MS. Isharon Benyette Reynolds, NP-C is a family nurse practitioner in Detroit, MI. MS. Isharon Benyette Reynolds, NP-C NPI is 1962914366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2111 WOODWARD AVE STE 1200
DETROIT, MI
ZIP 48201-415
Phone: (313) 488-4332
Fax: (313) 488-4332

The NPI 1962914366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)

The enumeration date for this NPI number is 10/26/2017 and was last updated on 5/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704361588MICHIGANNo
2363LF0000XNurse PractitionerFamilyAPRN.CNP.023310OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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