Carole Reilly

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95030697 Issued in CA

Practice address

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8714

Phone

(855) 434-7763

NPI assigned

Aug 8, 2024

Last updated

Nov 21, 2024By 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 CA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pine Park Health, IncGroup PAC ID 0345670527, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of North County San Diego Home health agency, San Marcos, CA, CCN 059474
• Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
• Advantage Health Systems Home health agency, San Diego, CA, CCN 058355
• Bridge Home Health Home health agency, San Diego, CA, CCN 059387

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21048/brand/1/csg/1/fhir/r4

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.

• Pine Park Health, Inc

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1346879848

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

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

• Abc Home Health Care LLC

  dba Bridge Home Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1629207287
  Care Compare affiliation
• Advantage Health Systems

  • Home Health Agency
  • San Diego, CA
  • NPI 1538225313
  Care Compare affiliation
• Healthy Living at Home-San Diego LLC

  dba Mission Home Health of North County San Diego

  • Home Health Agency
  • San Marcos, CA
  • NPI 1396011870
  Care Compare affiliation
• Optimal Health Care Inc

  dba Archer Health, Inc.

  • Home Health Agency
  • Carlsbad, CA
  • NPI 1053741017
  Care Compare affiliation

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1730910167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078714",
            "telephone_number": "855-434-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078714",
            "telephone_number": "855-434-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "CAROLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab Foot Therapy Clinic
• Cameron Michael Rehmani
• Daniel S Reich, MD
• Norman D Reichwald, PSYD
• John Andrew Reid, P.A.
• Reimagine Network
• Reimagine Network
• Melissa Emily Reinelt, ACSW
• Victoria Reinhart
• Shelby Blanche Reisender

• Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.