TARA REILLY NP
NPI 1710905104
Nurse Practitioner in San Francisco, CA

Active since July 17, 2006PECOS Enrolled
1199 BUSH ST, STE 500, SAN FRANCISCO, CA 94109(415) 674-2600(415) 674-2601 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Apr 11, 2017 (2 updates tracked since 2017).

About Tara Reilly Np NPPES

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

TARA REILLY NP (NPI 1710905104) is an individual nurse practitioner in San Francisco, California, licensed in California (NP11738) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1710905104
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA REILLYCredential: NP
Location Address1199 BUSH ST, STE 500San Francisco, CA 94109-5976
Mailing Address1199 Bush St, Ste 500San Francisco, CA 94109-5976 · (415) 674-2600 · Fax (415) 674-2601
Fax(415) 674-2601
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1710905104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP11738
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP11738 (CA)
1199 BUSH ST, San Francisco, CA 94109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tara Reilly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648550244
PECOS Enrollment IDI20221129002883
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 94109 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Physical Medicine & Rehabilitation (Pain Medicine)
1199 BUSH ST, 300
SAN FRANCISCO, CA 94109
Plastic Surgery
1199 BUSH ST, SUITE 690
SAN FRANCISCO, CA 94109
Psychiatry & Neurology (Psychiatry)
1199 BUSH ST, SUITE 420
SAN FRANCISCO, CA 94109
Clinical Neuropsychologist
1199 BUSH ST, SUITE 350
SAN FRANCISCO, CA 94109
Physician Assistant
1199 BUSH ST, SUITE 300
SAN FRANCISCO, CA 94109
Internal Medicine
1199 BUSH ST, SUITE 160
SAN FRANCISCO, CA 94109
Plastic Surgery
1199 BUSH ST, SUITE # 590
SAN FRANCISCO, CA 94109
Otolaryngology
1199 BUSH ST, SUITE 620
SAN FRANCISCO, CA 94109

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 Tara Reilly's NPI number?

The NPI number for Tara Reilly is 1710905104. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Tara Reilly located?

Tara Reilly practices at 1199 Bush St Ste 500, San Francisco, CA 94109. The listed phone number is (415) 674-2600.

What is Tara Reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara Reilly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Reilly was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.