Skip to content

Shirley Deveere Reynolds

NPI 1073097242ActiveIndividual· Nurse Practitioner· Coos Bay, OR

Nurse Practitioner in Coos Bay, Oregon, licensed in IL, with an NPI issued in September 2018. Their prescriptions cost Medicare Part D more than their services did: $180,090 for 2,569 claims, against $41,540 paid for services in 2024. Glaxosmithkline, LLC. reported $17.78 in payments in 2025, mostly food and beverage. Lists Bay Area Hospital as a hospital affiliation.

Overview

NPI1073097242
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 24, 2018
Last updated in NPPESSep 24, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X209.018215IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (OR)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients198
Services billed523 across 8 procedure codes
Paid by Medicare$41,540

Part D prescriptions in 2024

Prescriptions (claims)2,569 · 4,740 30-day fills
Patients206
Total drug cost$180,090
Generic share85% of claims

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$17.78 · 1 payment from 1 company
  • 2024$143.57 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Glaxosmithkline, LLC.$17.781

What the 2025 payments were for

  • Food and Beverage$17.78 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Coos Bay

All Nurse Practitioner providers in Oregon →