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

Shea Reilly

Individual provider Family Nurse Practitioner · NPI 1407712128

Shea Reilly is a Nurse Practitioner in Rome, New York. Qualified in 2025, 1 year ago. Practices with Rome Memorial Hospital, Inc, a 55-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

1500 N James St
Rome, NY 13440-2844
Phone: (315) 338-7184
Fax: (315) 339-1975
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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 358658 (NY)

Record details

NPI number1407712128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 26, 2025
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address245 Avery Ln, Rome, NY 13441-4237

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Rome Memorial Hospital, Inc. — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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