Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carole Reilly

Individual provider Nurse Practitioner · NPI 1730910167

Carole Reilly is a Nurse Practitioner in Santa Ana, California. Qualified in 2023, 3 years ago. Practices with Pine Park Health, Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8714
Phone: (855) 434-7763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95030697 (CA)

Record details

NPI number1730910167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pine Park Health, Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Ana