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DEBRA ANNE REILLY PNP
NPI 1134561194
Nurse Practitioner - Pediatrics in Holbrook, NY

Active since July 18, 2013PECOS Enrolled
270 UNION AVE, HOLBROOK, NY 11741(631) 588-4442 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Debra Anne Reilly Pnp NPPES

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

DEBRA ANNE REILLY PNP (NPI 1134561194) is an individual pediatrics provider in Holbrook, New York, licensed in New York (F382398-1) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134561194
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDEBRA ANNE REILLYCredential: PNP
Location Address270 UNION AVEHolbrook, NY 11741-1823
Mailing Address815 Hallock AvePort Jefferson Station, NY 11776-1244 · (631) 331-7267
Phone(631) 588-4442
Sole ProprietorYes
Enumeration DateJuly 18, 2013
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1134561194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F382398-1
270 UNION AVE, Holbrook, NY 11741
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra Anne Reilly Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Debra Reilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.
43 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

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 11741 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.

Other Providers at the Same Location NPPES 19

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

MS. LACI NICOLE COOK CPNP
Nurse Practitioner (Pediatrics)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
FREED, SCHERZ, KLEINBERG, NUSSBAUM & FESTA, MD, LLP
Legal Medicine
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-7973
MRS. BARBARA LORETTA KOLK-SEDA RPAC
Physician Assistant (Medical)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
MRS. PHYLLIS G SIMON-GOLDMAN MD
Pediatrics (Adolescent Medicine)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 331-6200
DR. JASON KRONBERG D.O.
Pediatrics
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
DR. ROBERT S FESTA M.D., LIC
Pediatrics (Adolescent Medicine)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
DR. MICHAEL NUSSBAUM M.D.
Pediatrics (Adolescent Medicine)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
MS. PATRICIA J. SONDGEROTH RPAC
Physician Assistant (Medical)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442

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 Debra Reilly's NPI number?

The NPI number for Debra Reilly is 1134561194. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Debra Reilly located?

Debra Reilly practices at 270 Union Ave, Holbrook, NY 11741. The listed phone number is (631) 588-4442.

What is Debra Reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Debra Reilly enrolled in Medicare?

Yes. Debra Reilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Debra Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Reilly reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Debra Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Debra Reilly was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.