MS. MARY LINDA L O'REILLY NP
NPI 1043271455
Nurse Practitioner in Worcester, MA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
119 BELMONT ST, WORCESTER, MA 01605(508) 334-6053(508) 334-6412 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2022, Oct 27, 2020 (2 updates tracked since 2020).

About Ms. Mary Linda L O'reilly Np NPPES

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

MS. MARY LINDA L O'REILLY NP (NPI 1043271455) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (197029) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1043271455
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY LINDA L O'REILLYCredential: NP
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 334-6412
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 28, 2006
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1043271455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 197029
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN197029 (MA)
119 BELMONT ST, Worcester, MA 01605

Other Identifiers 1

Medicaid110016491AMA

Accepted Insurance

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

Ms. Mary Linda L O'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 ID7719913664
PECOS Enrollment IDI20050712000512
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

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.
113 services48 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 Mary Linda O'reilly's NPI number?

The NPI number for Mary Linda O'reilly is 1043271455. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Mary Linda O'reilly located?

Mary Linda O'reilly practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-6053.

What is Mary Linda O'reilly's specialty?

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

Is Mary Linda O'reilly enrolled in Medicare?

Yes. Mary Linda O'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.

What insurance does Mary Linda O'reilly accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Linda O'reilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Linda O'reilly affiliated with any hospitals?

According to CMS data, Mary Linda O'reilly is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Mary Linda O'reilly was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.