NICOLETTE ANN REILLY (PA-C) – Physician Assistant, NPI 1184287617
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
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Provider Addresses for NICOLETTE ANN REILLY (PA-C)
215, Appian Way, Middlesex, Middlesex County, New Jersey, 08846, United States
MIDDLESEX, NJ 088461261
Phone: (908) 616-7137
Type: Mailing
Lenox Hill Hospital, 100, East 77th Street, Upper East Side, Manhattan Community Board 8, Manhattan, New York County, New York, 10075, United States
NEW YORK, NY 100751850
Phone: (212) 342-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $669.
Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($408).
Total Amount
$669
General + Research + Ownership
Payments
18
Total payment records
General Amount
$669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200508000682 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08846)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | NY | |
| Diagnostic Radiology | NY | |
| - | NY | |
| Hospitalist, Family Practice | NY | |
| - | NY | |
| Infectious Disease | NC | |
| - | NY | |
| - | NY | |
| Cardiac Surgery, Vascular Surgery | NY | |
| - | CA |
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