Colleen K Reilly, RN, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NR79808 Issued in NJ

Practice address

4 Plaza Dr
Suite 402
Sewell, NJ 08080-2747

Phone

(856) 270-4040

Fax

(856) 270-4044

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA, DE, MD4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pulse Vascular, LLC

  • Vascular & Interventional Radiology Physician
  • Vineland, NJ
  • NPI 1255899704
  Medicare reassignment Care Compare group NPD
• Consonant Healing Medical Associates of NJ LLC

  • Surgery Physician
  • Ridgefield Park, NJ
  • NPI 1508477399

  Nurse Practitioner

  Medicare reassignment NPD
• Consonant Healing Medical Associates

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1588122535

  Nurse Practitioner, PA

  Medicare reassignment NPD
• Wound Healing Solutions Pennsylvania and Delaware LLC

  • Nurse Practitioner
  • Barrington, NJ
  • NPI 1306272075

  PA

  Medicare reassignment
• Lourdes Medical Associates PA

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1568441541
  NPD (past)
• Our Lady of Lourdes Medical Center, Inc.

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1629238506
  NPD (past)
• Surgical & Critical Care Associates

  • Family Nurse Practitioner
  • Woodbury, NJ
  • NPI 1619995594
  NPD (past)
• Mobile Wound Consultants II Inc.

  • Surgical Critical Care Physician
  • Media, PA
  • NPI 1083994149
  NPD (past)
• Mobile Wound Consultants Inc

  • Nurse Practitioner
  • Media, PA
  • NPI 1326205972
  NPD (past)
• Senf NP Family Medicine PLLC

  • Surgery Physician
  • Schaumburg, IL
  • NPI 1821702432
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1356431050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-968-7433",
            "fax_number": "856-968-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PLAZA DR",
            "address_2": "SUITE 402",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802747",
            "telephone_number": "856-270-4040",
            "fax_number": "856-270-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "COLLEEN",
        "middle_name": "K",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NR79808",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NN79808",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN322533L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reconstructive Orthopedics, P.a.
• Reconstructive Orthopedics, P.a.
• Dorothy Reed
• Regional Womens Health Group,LLC
• Rehabclinics SPT Inc
• Justin Reilly
• Renal Center of Sewell, LLC
• Restorative Care Services
• Sandra Revak, FNP
• Tara Ricciardi, NP

• Nurse Practitioner in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.