Nurse Practitioner In Plainfield New Jersey

NPI list of 16 nurse practitioner registered providers with a business address in Plainfield, NJ of which 1 are registered as organizations and 15 as individuals. (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

NPI Name Type Taxonomy Address Medicare PECOS
1003002858AMY R. GIBSONIndividualNurse Practitioner1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 222-8970
Non-Participating ProviderYES
1013378439CARLENE P. GREENIndividualNurse Practitioner
(Family)
1416 PARK AVE
PLAINFIELD, NJ 07060
(908) 757-6363
Non-Participating ProviderNO
1073786737JOSEFINA GREGORYIndividualNurse Practitioner
(Pediatrics)
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
Non-Participating ProviderYES
1154537579KUBURAT OLUGBODEIndividualNurse Practitioner
(Family)
1177 PARK AVENUE, SUITE A
PLAINFIELD, NJ 07060
(908) 222-0600
Non-Participating ProviderYES
1164721544PATHWAY TO WELLNESSOrganizationNurse Practitioner
(Psychiatric/Mental Health)
1010 PARK AVENUE SUITE 2C 2ND FLOOR
PLAINFIELD, NJ 07060
(908) 322-4800
Non-Participating ProviderNO
1174157069PEARLENA DEAN-RAMSAYIndividualNurse Practitioner628 E 3RD ST
PLAINFIELD, NJ 07060
(908) 561-1430
Non-Participating ProviderNO
1205439551PATRICIA DILBERTIndividualNurse Practitioner
(Family)
622 BELVIDERE AVE
PLAINFIELD, NJ 07062
(917) 566-3297
Non-Participating ProviderNO
1528070471SHANDA JOHNSONIndividualNurse Practitioner
(Family)
120 W 7TH ST SUITE 203
PLAINFIELD, NJ 07060
(908) 757-8687
Non-Participating ProviderYES
1538767587RUTH YAMOAH-COFIEIndividualNurse Practitioner
(Psychiatric/Mental Health)
1160 E 7TH ST
PLAINFIELD, NJ 07062
(212) 729-3636
Non-Participating ProviderYES
1548648140WAHEDA DAVISIndividualNurse Practitioner
(Family)
1349 SLOANE BLVD
PLAINFIELD, NJ 07060
(908) 822-9079
Accepts MedicareYES
1588083950USHA JAMESIndividualNurse Practitioner
(Family)
1416 PARK AVE
PLAINFIELD, NJ 07060
(908) 757-6363
Non-Participating ProviderYES
1801109905JADIRA AMILLIndividualNurse Practitioner
(Psychiatric/Mental Health)
1010 PARK AVE
PLAINFIELD, NJ 07060
(908) 822-9099
Non-Participating ProviderYES
1841804960CLAUDETTE L BLAKEIndividualNurse Practitioner
(Psychiatric/Mental Health)
890 TERRILL RD
PLAINFIELD, NJ 07062
(973) 704-3756
Non-Participating ProviderYES
1851707202OLAYINKA OLUWABUKOLA LOWEIndividualNurse Practitioner
(Family)
1245 OXFORD AVE
PLAINFIELD, NJ 07062
(908) 447-1479
Non-Participating ProviderNO
1902351711JOHNSON BABAYEMIIndividualNurse Practitioner
(Psychiatric/Mental Health)
33 ANDOVER AVE
PLAINFIELD, NJ 07062
(347) 322-6776
Accepts MedicareYES
1962828152NOLLECA FORBES-THOMASIndividualNurse Practitioner
(Family)
829 2ND PL
PLAINFIELD, NJ 07060
(908) 754-8225
Accepts MedicareYES

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.