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THERESA ANN REILLY AGACNP-BC
NPI 1902316565
Nurse Practitioner - Gerontology in Brick, NJ

Active since October 09, 2017PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
39 TORONTO DR, BRICK, NJ 08723(732) 236-8361 Get Directions Write a Review

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

Record update history: Jul 9, 2026, Jul 22, 2019, Oct 9, 2017 (3 updates tracked since 2017).

About Theresa Ann Reilly Agacnp-bc NPPES

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

THERESA ANN REILLY AGACNP-BC (NPI 1902316565) is an individual gerontology provider in Brick, New Jersey, licensed in New Jersey (26NJ00900500) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902316565
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTHERESA ANN REILLYCredential: AGACNP-BC
Location Address39 TORONTO DRBrick, NJ 08723-7531
Mailing Address1945 Route 33Neptune, NJ 07753 · (732) 776-4292 · Fax (732) 776-4213
Phone(732) 236-8361
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 9, 2017
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1902316565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ00900500
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 431187 (NY)
39 TORONTO DR, Brick, NJ 08723
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Ann Reilly Agacnp-bc 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 ID4587904560
PECOS Enrollment IDI20191030001878
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 Reassignments

4

Medicare enrollment records show Theresa Reilly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
22 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Rutgers Health-Rwj Scleroderma Program
38 mi
Family Medicine
317 GEORGE ST, 1ST FLOOR
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1215062005 (732) 235-8993
Robert Wood Johnson Medical Associates
38 mi
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1902848625 (732) 235-7840
New York University
990 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08723 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 Theresa Reilly's NPI number?

The NPI number for Theresa Reilly is 1902316565. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Theresa Reilly located?

Theresa Reilly practices at 39 Toronto Dr, Brick, NJ 08723. The listed phone number is (732) 236-8361.

What is Theresa Reilly's specialty?

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

Is Theresa Reilly enrolled in Medicare?

Yes. Theresa 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.

Which organizations bill Medicare for Theresa Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Reilly reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ) and New York University (Boynton Beach, FL). 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 Theresa Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Reilly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Theresa 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.

Is Theresa Reilly affiliated with any hospitals?

According to CMS data, Theresa Reilly is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Reilly was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.