Individual provider Active NPI

Keith J Reilley, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Baltimore, MD
National Provider Identifier
1770128712
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R210605 Issued in MD
Practice address
101 W Read St Unit B03
Baltimore, MD 21201-4906
Phone
(610) 733-0304
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R210605 MD Primary

Addresses

Primary practice location

101 W Read St Unit B03
Baltimore, MD 21201-4906

Mailing address

101 W Read St Unit B03
Baltimore, MD 21201-4906
Phone (610) 733-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200504000013 MD Practitioner - Nurse Practitioner 5092146217 Reassigns benefits to 2 organizations
I20240516002108 DC Practitioner - Nurse Practitioner 5092146217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians

Practice addresses (Care Compare)

2225 N Charles St
Baltimore, MD 21218-5778
Phone (410) 938-5434

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
42.65
Promoting interoperability
51
Improvement activities
40
Cost
84.01

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Mosaic Community Services, Inc CurrentSince Feb 14, 2022 Accepting new patients
Family Services, Inc CurrentSince Apr 30, 2024 Accepting new patients
Family Services, Inc. CurrentSince Apr 30, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 5

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1770128712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W READ ST UNIT B03",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014906",
            "telephone_number": "610-733-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W READ ST UNIT B03",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014906",
            "telephone_number": "610-733-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLEY",
        "first_name": "KEITH",
        "middle_name": "J",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.