KARA REILLY (LSW, LICDC, RN, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235657420

KARA REILLY (LSW, LICDC, RN, APRN) is a healthcare provider. based in Toledo, Ohio. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials LSW, LICDC, RN, APRN. They hold a License No. RN.434430 (OH). The NPI Number for KARA REILLY (LSW, LICDC, RN, APRN) is 1235657420

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KARA REILLY (LSW, LICDC, RN, APRN)
NPI
1235657420
Phone
(419) 376-2179
Address
1832 ADAMS ST
Enumeration Date
7 September 2017
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193301050
Graduation Year
2018 (8 years ago)
PAC ID
7416206313
Group Practice PAC ID
5890947121
Professional Enrollment ID
I20180827002239
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

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Provider Addresses for KARA REILLY (LSW, LICDC, RN, APRN)

  • 1832, Adams Street, Uptown, Toledo, Lucas County, Ohio, 43604, United States

    TOLEDO, OH 436044428

    Phone: (419) 376-2179

    Type: Location

  • 3123, Walter Road, North Olmsted, Cuyahoga County, Ohio, 44070, United States

    NORTH OLMSTED, OH 440701071

    Phone: (419) 376-2179

    Type: Mailing

  • 4466 RANCHVIEW AVE

    NORTH OLMSTED, OH 440702744

    Phone: (419) 376-2179

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180827002239INurse PractitionerOHTBD
I20210304002524INurse PractitionerNYTBD

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 43604)

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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: 5890947121View full group profile

Reviews

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Frequently asked questions

How do payers reference KARA REILLY (LSW, LICDC, RN, APRN)?
For KARA REILLY (LSW, LICDC, RN, APRN), use NPI 1235657420 as the unique 10-digit identifier.
Would KARA REILLY (LSW, LICDC, RN, APRN) appear as active to a payer?
You can treat KARA REILLY (LSW, LICDC, RN, APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KARA REILLY (LSW, LICDC, RN, APRN)?
KARA REILLY (LSW, LICDC, RN, APRN)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KARA REILLY (LSW, LICDC, RN, APRN)?
Travel planning: use Toledo, Ohio as the reference point for KARA REILLY (LSW, LICDC, RN, APRN), then confirm.
When was this NPI issued?
Enumeration for KARA REILLY (LSW, LICDC, RN, APRN) is noted as September 7, 2017 where the registry provides it.

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