Suzanne Reilly, APNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

8736-33 Issued in WI

Practice address

600 Highland Ave
K4/712 Mc7375
Madison, WI 53792

Phone

(608) 263-0192

NPI assigned

Oct 3, 2018

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

Other names 1

• Suzanne Vinohradsky Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sreilly5657@direct.chw.org

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.

• Children'S Health System

  • Pediatric Nurse Practitioner
  • New Berlin, WI
  • NPI 1982526737

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1992280192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "K4/712 MC7375",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792",
            "telephone_number": "608-263-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "K4/712 MC7375",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792",
            "telephone_number": "608-263-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 N 117th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532224128",
            "country_code": "US",
            "telephone_number": "414-337-8988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 W Mequon Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923254",
            "country_code": "US",
            "telephone_number": "262-518-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 S Moorland Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531517494",
            "country_code": "US",
            "telephone_number": "262-432-7599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3195 Hillside Dr",
            "address_purpose": "LOCATION",
            "city": "Delafield",
            "state": "WI",
            "postal_code": "530182189",
            "country_code": "US",
            "telephone_number": "262-646-9977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1432 W Forest Home Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532043228",
            "country_code": "US",
            "telephone_number": "414-567-5401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6809 122nd Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427335",
            "country_code": "US",
            "telephone_number": "262-891-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SUZANNE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "8736-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreilly993568@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1675 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreilly993568@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "address_2": "K4/712 MC7375",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "VINOHRADSKY",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cydney Olivia Reilly, PT, DPT
• Keegan James Reilly, MD
• Martha Reilly, O. D
• Michael J Reilly
• Nicole M Reilly, M.D.
• Allison Reimer, DDS
• Ashley Rae Reimer, PA-C
• Daniel C Reimer, PT
• Michael Reimers
• Rachel Reinders-Saeman, M.S., PC-IT, SAC-IT

• Pediatric Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.