GRACE SHIBU VARGHESE FNP-C
NPI 1013498823
Nurse Practitioner - Family in 150,bergen Street,newark, NJ

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY HOSPITAL, 150,BERGEN STREET,NEWARK, NJ 07103(973) 972-6000 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Shibu Varghese Fnp-c NPPES

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

GRACE SHIBU VARGHESE FNP-C (NPI 1013498823) is an individual family provider in 150,bergen Street,newark, New Jersey, licensed in New Jersey (26NJ00840200) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013498823
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE SHIBU VARGHESECredential: FNP-C
Location AddressUNIVERSITY HOSPITAL150,bergen Street,newark, NJ 07103
Mailing Address92 Princess DrNorth Brunswick, NJ 08902-4107 · (973) 572-6198
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
✔ NPI 1013498823 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 · 26NJ00840200
UNIVERSITY HOSPITAL, 150,bergen Street,newark, NJ 07103

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

Grace Shibu Varghese Fnp-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 ID7911321534
PECOS Enrollment IDI20200715002842
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 Reassignments

2

Medicare enrollment records show Grace Varghese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acute Care
150 BERGEN STREET, DEPTPARTMENT OF EMERGENCY ROOM M-219
Newark, NJ 07101
  • Reassigned Medicare billing, New Jersey enrollment
  • 55 clinicians in this Medicare group
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 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.

Hospital Affiliations CMS Care Compare

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

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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.

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 Grace Varghese's NPI number?

The NPI number for Grace Varghese is 1013498823. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Grace Varghese located?

Grace Varghese practices at University Hospital, 150,bergen Street,newark, NJ 07103. The listed phone number is (973) 972-6000.

What is Grace Varghese's specialty?

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

Is Grace Varghese enrolled in Medicare?

Yes. Grace Varghese 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 organizations bill Medicare for Grace Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Varghese reassigns Medicare benefits to 2 organizations: University Hospital (Newark, NJ) and Central Jersey Urgent Care (Ocean, NJ). Each 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 Grace Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Varghese accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Grace Varghese 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 Grace Varghese affiliated with any hospitals?

According to CMS data, Grace Varghese is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Grace Varghese was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.