Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Reilly, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1063903334

Shannon Reilly, FNP-BC is a Nurse Practitioner in Brooklyn, New York. Qualified in 2016, 10 years ago. Practices with Memorial Neurology Group, a 96-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

505 Court St Apt 7C
Brooklyn, NY 11231-3952
Phone: (413) 335-0662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341797 (NY)

Record details

NPI number1063903334
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESMay 22, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Memorial Neurology Group — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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