Individual provider Active NPI

Jessica Lindsay Reilly, AGPCNP-BC

  • Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1104778000
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2258694 Issued in MA
Practice address
140 Wood Rd Ste 104
Braintree, MA 02184-2512
Phone
(781) 884-1539
NPI assigned
Feb 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2258694 MA
Nurse Practitioner 363L00000X RN2258694 MA Primary
Registered Nurse 163W00000X 117170-21 NH
Nurse Practitioner 363L00000X 117170-23 NH

Addresses

Primary practice location

140 Wood Rd Ste 104
Braintree, MA 02184-2512

Mailing address

325 Washington St
Canton, MA 02021-3857
Phone (617) 312-0653

Other practice location 1

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

Other practice location 2

3 Mast Rd
Lee, NH 03861-6570
Phone (603) 945-9692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 Wood Rd
Suite 104
Braintree, MA 02184-2512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2258694MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare Services LLC CurrentSince Jun 7, 2026 Accepting new patients

Locations

140 Wood Rd
Ste 104
Braintree, MA 02184
Phone (781) 884-1538

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1104778000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213857",
            "telephone_number": "617-312-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WOOD RD STE 104",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842512",
            "telephone_number": "781-884-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1153 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303446",
            "country_code": "US",
            "telephone_number": "617-983-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Mast Rd",
            "address_purpose": "LOCATION",
            "city": "Lee",
            "state": "NH",
            "postal_code": "038616570",
            "country_code": "US",
            "telephone_number": "603-945-9692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JESSICA",
        "middle_name": "LINDSAY",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2258694",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2258694",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "117170-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "117170-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.