MRS. KATHERINE ELIZABTH DEMARCO APN-C
NPI 1013275510
Nurse Practitioner - Family in Hackensack, NJ

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
30 PROSPECT AVENUE, HUMC, PAIN & PALLIATIVE MEDICINE INSTITUTE, HACKENSACK, NJ 07601(201) 996-2000 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Katherine Elizabth Demarco Apn-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHERINE ELIZABTH DEMARCO APN-C (NPI 1013275510) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00370900) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of George Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1013275510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHERINE ELIZABTH DEMARCOCredential: APN-C
Location Address30 PROSPECT AVENUE, HUMC, PAIN & PALLIATIVE MEDICINE INSTITUTEHackensack, NJ 07601
Mailing Address25 Winding WayMorris Plains, NJ 07950-1862 · (862) 703-0693
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2011
Enumeration DateMay 3, 2012
✔ NPI 1013275510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00370900
30 PROSPECT AVENUE, Hackensack, NJ 07601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katherine Elizabth Demarco Apn-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638335656
PECOS Enrollment IDI20120719000215
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Demarco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
30 PROSPECT AVENUE
HACKENSACK, NJ 07601
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
30 PROSPECT AVENUE, WFAN - 3RD FL ROOM PC338
HACKENSACK, NJ 07601
Pediatrics (Pediatric Infectious Diseases)
30 PROSPECT AVENUE, WFAN BULIDING, 3RD FLOOR
HACKENSACK, NJ 07601
Pediatrics (Neonatal-Perinatal Medicine)
30 PROSPECT AVENUE, WFAN BLDG PC218
HACKENSACK, NJ 07601
Pediatrics (Pediatric Endocrinology)
30 PROSPECT AVENUE, PC251
HACKENSACK, NJ 07601
Internal Medicine
30 PROSPECT AVENUE, 4 MAIN
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVENUE
HACKENSACK, NJ 07601
Obstetrics & Gynecology
30 PROSPECT AVENUE, HACKENSACK UNIVERSITY MEDICAL CENTER
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Demarco's NPI number?

The NPI number for Katherine Demarco is 1013275510. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Katherine Demarco located?

Katherine Demarco practices at 30 Prospect Avenue Humc, Pain & Palliative Medicine Institute, Hackensack, NJ 07601. The listed phone number is (201) 996-2000.

What is Katherine Demarco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Demarco enrolled in Medicare?

Yes. Katherine Demarco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katherine Demarco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Demarco reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Demarco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Demarco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Katherine Demarco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katherine Demarco affiliated with any hospitals?

According to CMS data, Katherine Demarco is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Demarco was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.