NICOLETTE ANN REILLY (PA-C) – Physician Assistant, NPI 1184287617

NICOLETTE ANN REILLY (PA-C) is a healthcare provider. based in Middlesex, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for NICOLETTE ANN REILLY (PA-C) is 1184287617

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLETTE ANN REILLY (PA-C)
NPI
1184287617
Phone
(908) 616-7137
Address
215 APPIAN WAY
Enumeration Date
19 April 2019
Last Update Date
28 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5165623845
Graduation Year
2019 (7 years ago)
PAC ID
3779914643
Group Practice PAC ID
3375701568
Professional Enrollment ID
I20200508000682
Address ID
NY110303816MA350XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200508000682IPhysician AssistantNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375701568View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NY
Diagnostic RadiologyNY
-NY
Hospitalist, Family PracticeNY
-NY
Infectious DiseaseNC
-NY
-NY
Cardiac Surgery, Vascular SurgeryNY
-CA

Reviews

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Frequently asked questions

How do payers reference NICOLETTE ANN REILLY (PA-C)?
For NICOLETTE ANN REILLY (PA-C), use NPI 1184287617 as the unique 10-digit identifier.
Is there an active status for NICOLETTE ANN REILLY (PA-C)?
For scheduling context, NICOLETTE ANN REILLY (PA-C) is shown as active in the registry.
How would a patient describe NICOLETTE ANN REILLY (PA-C)'s focus?
For NICOLETTE ANN REILLY (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in New Jersey is NICOLETTE ANN REILLY (PA-C) registered?
Use Middlesex, New Jersey as the headline location for NICOLETTE ANN REILLY (PA-C) here.
Does NICOLETTE ANN REILLY (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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