JACQUELINE ANNE REILLEY AGNP
NPI 1093688731
Nurse Practitioner - Gerontology in Philadelphia, PA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Anne Reilley Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jacqueline Reilley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 73 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 113 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Suburban Geriatric's, Inc.
- 114 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Jacqueline Reilley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Reilley reassigns Medicare benefits to 4 organizations: Suburban Geriatrics At Home PC (Plymouth Meeting, PA), Suburban Geriatrics II PC (Plymouth Meeting, PA), Suburban Geriatrics, Inc. (Plymouth Meeting, PA) and Violet Valley Long Term Care PC (Plymouth Meeting, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Reilley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Reilley accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jacqueline Reilley 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.
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 11 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.
# Jacqueline Anne Reilley, AGNP · NPI 1093688731
Gerontology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 29, 2025.
## Identity
- **NPI:** 1093688731 (Entity type: Individual)
- **Enumerated:** September 29, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP031312 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4162 APPLE ST, Philadelphia, PA 19127-1620
- **Phone:** (267) 421-8276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Suburban Geriatrics At Home PC (NPI 1568122844, Plymouth Meeting, PA); Suburban Geriatrics II PC (NPI 1073273363, Plymouth Meeting, PA); Suburban Geriatrics, Inc. (NPI 1679594808, Plymouth Meeting, PA); Violet Valley Long Term Care PC (NPI 1649164617, Plymouth Meeting, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093688731) · Data from the CMS NPPES public registry.