ANJELENE REYNOLDS
NPI 1629597893
Physician Assistant - Surgical in Klamath Falls, OR

NPI Status: Active since September 19, 2017

Contact Information

2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 884-7746

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  • Individual
  • Female
  • Years of Experience 2
  • Physician Assistant
  • Surgical
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ANJELENE REYNOLDS

This page provides the complete NPI Profile along with additional information for Anjelene Reynolds, a provider established in Klamath Falls, Oregon with a medical specialization in Physician Assistant, focusing in surgical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1629597893 assigned on September 2017. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1629597893
Provider Name
ANJELENE REYNOLDS
Gender
Female
Entity Type
Individual
Location Address
2200 BRYANT WILLIAMS DR STE 1 KLAMATH FALLS, OR 97601
Location Phone
(541) 884-7746
Mailing Address
1307 LATIGO DR HENDERSON, NV 89002
Mailing Phone
(406) 381-9943
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
09-19-2017
Last Update Date
07-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

 

Medicare Participation & PECOS Enrollment Status

Anjelene Reynolds is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Anjelene Reynolds is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719411990

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241111001749

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anjelene Reynolds is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SKY LAKES MEDICAL CENTER2865 DAGGETT AVENUE
KLAMATH FALLS, OR 97601
(541) 274-6150Acute Care Hospitals

Reviews for ANJELENE REYNOLDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629597893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264910914818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 0 + 9 + 1 + 4 + 8 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1629597893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962732131BEAR CREEK SURGERY PA PC
Organization
Neuromusculoskeletal Medicine & OMM2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR 97601
(541) 488-4464
1780909408JEFFERSON NEUROLOGY LLC
Organization
Psychiatry & Neurology (Neurology)2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR 97601
(541) 880-2902
1659898633 JOSHUA AARON MARTIN PA
Individual
Physician Assistant (Surgical)2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR 97601
(541) 274-5729
1356074660 ANTHONY VINHTHONG NGUYEN
Individual
Physician Assistant (Surgical)2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR 97601
(541) 884-7746
1093081796DR. LUKE WILLIAM HOSACK M.D.
Individual
Orthopaedic Surgery (Sports Medicine)2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR 97601
(541) 884-7746
1235159856DR. FRED F. NARAGHI M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)2200 BRYANT WILLIAMS DR STE 1
KLAMATH FALLS, OR 97601
(541) 884-7746

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629597893, enumerated in the NPI registry as an "individual" on September 19, 2017

The provider is located at 2200 Bryant Williams Dr Ste 1 Klamath Falls, Or 97601 and the phone number is (541) 884-7746

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 2 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): SKY LAKES MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 19, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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