Individual provider Active NPI

Gabrielle Theresa O'Reilly, FNP-C

  • Family Nurse Practitioner
  • Sherburne, NY
National Provider Identifier
1043727373
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348022 Issued in NY
Practice address
13 School St
Sherburne, NY 13460-9505
Phone
(607) 674-8416
Fax
(607) 547-8415
NPI assigned
Jan 9, 2018
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348022 NY Primary

Addresses

Primary practice location

13 School St
Sherburne, NY 13460-9505

Mailing address

13 School St
Sherburne, NY 13460-9505
Phone (607) 674-8416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104002916 NY Practitioner - Nurse Practitioner 5799176517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Jul 11, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jul 11, 2022 Accepting new patients
Statline Medical PC CurrentSince Oct 16, 2021 Accepting new patients
Gilbertsville-Mt. Upton Central School District Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

693 State Highway 51
Gilbertsville, NY 13776
Phone (607) 783-2207

65 Main St
Morris, NY 13808
Phone (607) 263-2619

4238 State Highway 8
New Berlin, NY 13411
Phone (607) 847-6050

88 Calvary Dr
Norwich, NY 13815
Phone (585) 872-1800

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

13 School St
Sherburne, NY 13460
Phone (607) 674-7311

15 School St
Sherburne, NY 13460
Phone (607) 674-7300

15 Pearl St E
Sidney, NY 13838
Phone (607) 561-7705

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1043727373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SCHOOL ST",
            "city": "SHERBURNE",
            "state": "NY",
            "postal_code": "134609505",
            "telephone_number": "607-674-8416",
            "fax_number": "607-674-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SCHOOL ST",
            "city": "SHERBURNE",
            "state": "NY",
            "postal_code": "134609505",
            "telephone_number": "607-674-8416",
            "fax_number": "607-547-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "GABRIELLE",
        "middle_name": "THERESA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherburne, NY

Sources for this page

Verify at the official NPI Registry.