Ellen Reynolds, MD
NPI 1679622542 · Pediatric Surgery Physician · Boise, ID
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellen Reynolds, MD is a Pediatric Surgery Physician provider in Boise, ID (NPI 1679622542).
Provider details
- NPI number
- 1679622542
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M-7833 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2012-09-04
Frequently asked questions
- What is Ellen Reynolds's NPI number?
- Ellen Reynolds's National Provider Identifier (NPI) is 1679622542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Reynolds's specialty?
- Ellen Reynolds is listed in the NPPES registry with a primary specialty of Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ellen Reynolds located?
- Ellen Reynolds's practice location on file with NPPES is 100 E Idaho St, Boise, ID 83712-6267.
- What is Ellen Reynolds's phone number?
- The practice phone number listed in the NPPES registry for Ellen Reynolds is (208) 381-7370.
- Does Ellen Reynolds accept Medicare?
- Ellen Reynolds is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellen Reynolds's NPI active?
- Yes — Ellen Reynolds's NPI (1679622542) is active in the NPPES registry as of the last update on 2012-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.