Individual provider Active NPI

Robyn C. Reilly, APRN, FNP-BC

  • Family Nurse Practitioner
  • Old Saybrook, CT
National Provider Identifier
1316323397
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6203 Issued in CT
Practice address
154 Main St
Old Saybrook, CT 06475-2373
Phone
(860) 661-5976
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 6203 CT Primary

Addresses

Primary practice location

154 Main St
Old Saybrook, CT 06475-2373

Mailing address

28 Crescent St
Middletown, CT 06457-3650
Phone (860) 358-8000

Other practice location 1

12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-9053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20151119001901 CT Practitioner - Nurse Practitioner 5294035416 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-9053

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6203CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc CurrentSince Mar 1, 2016 Accepting new patients
MHS Primary Care Inc Family CurrentSince Mar 1, 2016 Accepting new patients
Middlesex Hospital CurrentSince Feb 1, 2017 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Sep 28, 2015 Accepting new patients
Connecticut Orthopaedic Specialists, PC Family CurrentSince Feb 23, 2019 Accepting new patients
Middlesex Hospital CurrentSince Feb 1, 2017 Accepting new patients
Middlesex Hospital Current Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Feb 23, 2019 Accepting new patients

Locations

12 Bokum Rd
Essex, CT 06426
Phone (860) 767-9035

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

154 Main St
Old Saybrook, CT 06475
Phone (860) 395-1212

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

Interoperability endpoints

  • Direct secure messaging: robyn.reilly@xdr.hhchealthdirect.org
  • Direct secure messaging: rreilly9998@middlesexhealthprd.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1316323397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573650",
            "telephone_number": "860-358-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752373",
            "telephone_number": "860-661-5976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Bokum Rd",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "CT",
            "postal_code": "064261500",
            "country_code": "US",
            "telephone_number": "860-767-9053",
            "fax_number": "860-767-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "ROBYN",
        "middle_name": "C.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.