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SHANNON REILLY FNP-BC
NPI 1063903334
Nurse Practitioner - Family in Brooklyn, NY

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
96.78/100
CMS Quality Rating
505 COURT ST APT 7C, BROOKLYN, NY 11231(413) 335-0662 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Reilly Fnp-bc NPPES

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

SHANNON REILLY FNP-BC (NPI 1063903334) is an individual family provider in Brooklyn, New York, licensed in New York (341797) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063903334
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON REILLYCredential: FNP-BC
Location Address505 COURT ST APT 7CBrooklyn, NY 11231-3952
Mailing Address505 Court St Apt 7cBrooklyn, NY 11231-3952 · (413) 335-0662
Phone(413) 335-0662
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 22, 2018
✔ NPI 1063903334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 341797
505 COURT ST APT 7C, Brooklyn, NY 11231
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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

Shannon Reilly Fnp-bc 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 ID9830527902
PECOS Enrollment IDI20200324001393
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11231 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

96.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.8
Improvement Activities40

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 Shannon Reilly's NPI number?

The NPI number for Shannon Reilly is 1063903334. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Shannon Reilly located?

Shannon Reilly practices at 505 Court St Apt 7C, Brooklyn, NY 11231. The listed phone number is (413) 335-0662.

What is Shannon Reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Reilly enrolled in Medicare?

Yes. Shannon 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 Shannon Reilly affiliated with any hospitals?

According to CMS data, Shannon Reilly is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Shannon Reilly was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.