Laci Lynn Reilly, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

352408 Issued in NY

Practice address

9732 State Route 12
Copenhagen, NY 13626-2906

Phone

(719) 250-1131

NPI assigned

Nov 18, 2020

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis CountyGroup PAC ID 2668463779, shared by 14 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lewis County General Hospital

  • Family Medicine Physician
  • Lyons Falls, NY
  • NPI 1568534303
  Medicare reassignment NPD
• Lewis County General Hospital

  • Surgery Physician
  • Lowville, NY
  • NPI 1659433217
  Medicare reassignment NPD
• Lewis County General Hospital

  • Family Medicine Physician
  • Beaver Falls, NY
  • NPI 1790857308
  Medicare reassignment NPD
• Lewis County

  • Public Health or Welfare Agency
  • Lowville, NY
  • NPI 1114659778
  NPD
• Lewis County General Hospital

  • Family Medicine Physician
  • Lowville, NY
  • NPI 1033428958
  NPD
• Lewis County

  dba Lewis County General Hospital

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  NPD (past)
• Home Health of Jefferson Co, LLC

  dba Norton Home Health

  • Home Health Agency
  • Louisville, KY
  • NPI 1871940841
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lewis County

  dba Lewis County General Hospital

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838
  Care Compare affiliation

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1215530522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 STATE ROUTE 12",
            "city": "COPENHAGEN",
            "state": "NY",
            "postal_code": "136262906",
            "telephone_number": "719-250-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 STATE ROUTE 12",
            "city": "COPENHAGEN",
            "state": "NY",
            "postal_code": "136262906",
            "telephone_number": "719-250-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "LACI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ercle Gardner, RN,IBCLC
• Mary K Greene, MA, CCC/SLP
• Lewis County General Hospital
• Elizabeth A Marolf-Zehr, M.ED, SPED
• Jacob M Ratliff, LPN
• Roger B Shambo, MD, LLC
• Norman Bruce Scott, D.O.
• Michelle Anne Shoen
• Rachel L Slate, LPN
• Youth of Lewis County

• Family Nurse Practitioner in Copenhagen, NY
• Providers in Copenhagen, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.