Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lael Jo Reynolds

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689332769

Lael Jo Reynolds is a Nurse Practitioner in Ammon, Idaho. Qualified in 2021, 5 years ago. Practices with Pearl Health Clinic, a 38-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021

Practice location Address checks out

2705 E 17th St
Ammon, ID 83406-6601
Phone: (208) 346-7522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 Madison Professional Park, Rexburg, ID 83440-2057 — (208) 243-9304

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71578 (ID)

Record details

NPI number1689332769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2021
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ammon