Individual provider

Jessica Reynolds, M.D.

Surgery Physician Medicare enrolled

Jessica Reynolds, M.D. is a Surgery Physician in Logan, UT, registered under NPI 1205105731.

Getting there

The practice address on file is 1350 N 500 E, Logan, UT 84341. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1350 N 500 E, Logan, UT 84341 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
14219730-1238 UT Surgery Physician primary
A119307 CA Surgery Physician
85849 GA Surgery Physician

Licences are recorded in 3 states: UT, CA, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
1557504594

Enrolled in Medicare 6 times, across 6 states:

StateEnrollment IDProvider type
California I20130823000656 Practitioner - General Surgery
Georgia I20210707002803 Practitioner - General Surgery
South Dakota I20250206002492 Practitioner - General Surgery
Wisconsin I20250303001208 Practitioner - General Surgery
Utah I20250725003224 Practitioner - General Surgery
Tennessee I20251124002745 Practitioner - General Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. There are 6 separate enrolment records across 6 states (CA, GA, SD, WI, UT, TN). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, Georgia and Utah. The practice address on file is in Logan, UT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
A119307
Specialty
Surgery Physician
Verify with the CA board →
GA Georgia
Licence
85849
Specialty
Surgery Physician
Verify with the GA board →
UT Utah practice address
Licence
14219730-1238
Specialty
Surgery Physician
Verify with the UT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208600000X Surgery Physician 14219730-1238 UT primary
208600000X Surgery Physician A119307 CA
208600000X Surgery Physician 85849 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205105731 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 29, 2011
Last updatedJun 27, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1350 N 500 E
Logan, UT 84341
(435) 716-1950
Mailing address PO BOX 27128
Salt Lake City, UT 84127
This record was updated on Jun 27, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1205105731 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 1 0 5 7 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 2 0 1 7 6

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205105731?
NPI 1205105731 is the National Provider Identifier assigned to Jessica Reynolds, M.D. in Logan, UT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact Jessica Reynolds, M.D.?
The phone number on file with NPPES is (435) 716-1950, last updated Jun 27, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jessica Reynolds, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205105731 a valid number?
Yes. 1205105731 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.