Individual provider Active NPI

Laura Jean Reilly, APRN

  • Adult Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1154030633
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11010174 Issued in FL
Practice address
936 Barcarmil Way
Naples, FL 34110-0903
Phone
(239) 265-3391
Fax
(239) 310-2035
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11010174 FL Primary

Addresses

Primary practice location

936 Barcarmil Way
Naples, FL 34110-0903

Mailing address

936 Barcarmil Way
Naples, FL 34110-0903
Phone (239) 265-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221219000619 FL Practitioner - Nurse Practitioner 3274902051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

17303 NW 6TH CT
Pembroke Pines, FL 33029-3181
Phone (954) 276-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010174FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Jul 21, 2025 Accepting new patients
Openloop Healthcare Partners New Jersey PC Past Accepting new patients

Locations

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Ste 400
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Phone (515) 612-9097

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575

4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412

180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

Organizations & group practices 2

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1154030633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BARCARMIL WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100903",
            "telephone_number": "239-265-3391",
            "fax_number": "239-310-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 BARCARMIL WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100903",
            "telephone_number": "239-265-3391",
            "fax_number": "239-310-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11010174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.