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RAQUEL CARINA GONCALVES APN
NPI 1053064188
Nurse Practitioner - Adult Health in Rahway, NJ

Active since January 29, 2022PECOS EnrolledAccepts Medicare Assignment
865 STONE ST FL 1, RAHWAY, NJ 07065(973) 322-7636(973) 324-5257 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 21, 2025, Nov 10, 2024, Oct 5, 2022 and 2 more (5 updates tracked since 2022).

About Raquel Carina Goncalves Apn NPPES

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

RAQUEL CARINA GONCALVES APN (NPI 1053064188) is an individual adult health provider in Rahway, New Jersey, licensed in New Jersey (26NJ01125100) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1053064188
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRAQUEL CARINA GONCALVESCredential: APN
Location Address865 STONE ST FL 1Rahway, NJ 07065-2742
Mailing Address865 Stone St Fl 1Rahway, NJ 07065-2742 · (732) 499-6380 · Fax (732) 680-7909
Phone(973) 322-7636
Fax(973) 324-5257
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2022
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1053064188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ01125100
865 STONE ST FL 1, Rahway, NJ 07065
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 Lyons Ave Ste L4Newark, NJ 07112-2027 · Phone (973) 926-4113 · Fax (973) 926-5658

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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

Raquel Carina Goncalves Apn 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 ID7113385949
PECOS Enrollment IDI20230626003086
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 Raquel Goncalves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
5.2 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Rwjbh Primary Care Services
10 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000

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 4

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.

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.
75 services73 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
13 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07065 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 Raquel Goncalves's NPI number?

The NPI number for Raquel Goncalves is 1053064188. It was assigned to this individual provider in the NPPES registry on January 29, 2022.

Where is Raquel Goncalves located?

Raquel Goncalves practices at 865 Stone St Fl 1, Rahway, NJ 07065. The listed phone number is (973) 322-7636.

What is Raquel Goncalves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Raquel Goncalves enrolled in Medicare?

Yes. Raquel Goncalves 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 Raquel Goncalves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Goncalves reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Primary Care Services (West Orange, 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 Raquel Goncalves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raquel Goncalves accept?

Health plans from Ambetter Health and Oscar Health list Raquel Goncalves 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 Raquel Goncalves affiliated with any hospitals?

According to CMS data, Raquel Goncalves is affiliated with Robert Wood Johnson University Hospital At Rahway.

When was this NPI record last updated?

The NPPES record for Raquel Goncalves was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.