MR. PETER J REILLY NP
NPI 1033122098
Nurse Practitioner in Warwick, RI

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
400 BALD HILL RD, SUITE 526, WARWICK, RI 02886(401) 738-4323(401) 738-3857 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Peter J Reilly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER J REILLY NP (NPI 1033122098) is an individual nurse practitioner in Warwick, Rhode Island, licensed in Rhode Island (NPP35094) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Yale University School Of Medicine (1997).

NPPES Registry Identity

NPI1033122098
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. PETER J REILLYCredential: NP
Location Address400 BALD HILL RD, SUITE 526Warwick, RI 02886-1617
Mailing Address400 Bald Hill Rd, Suite 526Warwick, RI 02886-1617 · (401) 738-4323 · Fax (401) 738-3857
Fax(401) 738-3857
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1997
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1033122098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in RI · NPP35094
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
400 BALD HILL RD, Warwick, RI 02886

Other Identifiers 2

Medicare UPINS58272RI
Medicaid9025374RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Peter J Reilly Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103869797
PECOS Enrollment IDI20050606000067
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
454 services371 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
358 services113 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
188 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services129 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
77 services69 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
67 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
400 BALD HILL RD
WARWICK, RI 02886
Anesthesiology
400 BALD HILL RD, SUITE 503
WARWICK, RI 02886
Physician Assistant (Medical)
400 BALD HILL RD
WARWICK, RI 02886
Psychologist (Clinical)
400 BALD HILL RD, SUITE 517
WARWICK, RI 02886
Psychologist (Clinical)
400 BALD HILL RD
WARWICK, RI 02886
Internal Medicine
400 BALD HILL RD, STE 520
WARWICK, RI 02886
Counselor
400 BALD HILL RD
WARWICK, RI 02886
Allergy & Immunology (Allergy)
400 BALD HILL RD, STE 527
WARWICK, RI 02886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Reilly's NPI number?

The NPI number for Peter Reilly is 1033122098. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Peter Reilly located?

Peter Reilly practices at 400 Bald Hill Rd Suite 526, Warwick, RI 02886. The listed phone number is (401) 738-4323.

What is Peter Reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Peter Reilly enrolled in Medicare?

Yes. Peter Reilly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Peter Reilly affiliated with any hospitals?

According to CMS data, Peter Reilly is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Peter Reilly was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.