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JACQUELINE ANNE REILLEY AGNP
NPI 1093688731
Nurse Practitioner - Gerontology in Philadelphia, PA

Active since September 29, 2025PECOS Enrolled
4162 APPLE ST, PHILADELPHIA, PA 19127(267) 421-8276 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2025, Nov 13, 2025 (2 updates tracked since 2025).

About Jacqueline Anne Reilley Agnp NPPES

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

JACQUELINE ANNE REILLEY AGNP (NPI 1093688731) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031312) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093688731
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJACQUELINE ANNE REILLEYCredential: AGNP
Location Address4162 APPLE STPhiladelphia, PA 19127-1620
Mailing Address4162 Apple StPhiladelphia, PA 19127-1620 · (267) 421-8276
Phone(267) 421-8276
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 29, 2025
Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1093688731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP031312
4162 APPLE ST, Philadelphia, PA 19127
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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 (PECOS)

Jacqueline Anne Reilley Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527558592
PECOS Enrollment IDI20251107001688
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19127 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Jacqueline Reilley's NPI number?

The NPI number for Jacqueline Reilley is 1093688731. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Jacqueline Reilley located?

Jacqueline Reilley practices at 4162 Apple St, Philadelphia, PA 19127. The listed phone number is (267) 421-8276.

What is Jacqueline Reilley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jacqueline Reilley enrolled in Medicare?

Yes. Jacqueline Reilley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Reilley was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.