Carole Reilly
NPI 1730910167ActiveIndividual· Nurse Practitioner· Santa Ana, CA
Nurse Practitioner with Pine Park Health, Inc, practicing in Santa Ana, California. Mostly services rather than prescriptions: Medicare paid $12,987 for 29 patients in 2024, with only 31 Part D claims.
Overview
| NPI | 1730910167 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 8, 2024 |
| Last updated in NPPES | Nov 21, 2024 |
| Certified by provider | Nov 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95030697 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 144 across 11 procedure codes |
| Paid by Medicare | $12,987 |
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 34 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $631.61 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Pine Park Health, IncBerkeley, CA · 22 clinicians
Other facilities
- Advantage Health SystemsHome health agency · San Diego, CA
- Archer Health IncHome health agency · Carlsbad, CA
- Bridge Home HealthHome health agency · San Diego, CA
- Mission Home Health of North County San DiegoHome health agency · San Marcos, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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