1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Nurse Practitioner
  6. NPI Profile

KATHLEEN REILLY
NPI 1417659962
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
194 WATERMAN ST, PROVIDENCE, RI 02906(401) 633-2929(888) 602-6957 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, Mar 20, 2023 (2 updates tracked since 2023).

About Kathleen Reilly NPPES

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

KATHLEEN REILLY (NPI 1417659962) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN03630) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417659962
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN REILLY
Location Address194 WATERMAN STProvidence, RI 02906-4015
Mailing Address194 Waterman StProvidence, RI 02906-4015 · (401) 633-2929 · Fax (888) 602-6957
Phone(401) 633-2929
Fax(888) 602-6957
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateDecember 27, 20232 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1417659962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in RI · APRN03630
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
194 WATERMAN ST, Providence, RI 02906
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Kathleen Reilly 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 ID9830540053
PECOS Enrollment IDI20240111002708
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 02906 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

ME PSYCHOTHERAPY, LLC
Community/Behavioral Health
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
TAYLOR POIRIER LMHC
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
MRS. TARA MITCHELL MARTINO MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
NATALIE AUSTIN MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
MAE GLOMAN
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
VICTORIA SHAUGHNESSY
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
DEVON JERVIS
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
DR. DAVID CLIFTON DOVE PH.D.
Psychologist (Clinical Child & Adolescent)
194 WATERMAN ST, SUITE 5
PROVIDENCE, RI 02906
Providence County (401) 533-3015

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 Kathleen Reilly's NPI number?

The NPI number for Kathleen Reilly is 1417659962. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kathleen Reilly located?

Kathleen Reilly practices at 194 Waterman St, Providence, RI 02906. The listed phone number is (401) 633-2929.

What is Kathleen Reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Reilly enrolled in Medicare?

Yes. Kathleen 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 Kathleen Reilly accept?

Health plans from Harvard Pilgrim Health Care list Kathleen 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.

When was this NPI record last updated?

The NPPES record for Kathleen Reilly was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.