Individual provider Active NPI

Reilly Cullen

  • Registered Nurse
  • Foxboro, MA
National Provider Identifier
1598538746
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2390341 Issued in MA
Practice address
192 North St
Foxboro, MA 02035-1032
Phone
(774) 277-2921
NPI assigned
Oct 31, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2390341 MA Primary

Addresses

Primary practice location

192 North St
Foxboro, MA 02035-1032

Mailing address

192 North St
Foxboro, MA 02035-1032
Phone (774) 277-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260310002107 MA Practitioner - Nurse Practitioner 6800379744 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

192 N St
Foxboro, MA 02035-1032

600 Worcester Rd
Suite 301
Framingham, MA 01702-5316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2390341MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Pain Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Complete Pain Care, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

600 Worcester Rd
Ste 301
Framingham, MA 01702
Phone (508) 665-4344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1598538746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 NORTH ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351032",
            "telephone_number": "774-277-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 NORTH ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351032",
            "telephone_number": "774-277-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "REILLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2390341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.