LIZKEBE GADO NP
NPI 1053207522
Nurse Practitioner - Primary Care in Penns Grove, NJ
About Lizkebe Gado Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIZKEBE GADO NP (NPI 1053207522) is an individual primary care provider in Penns Grove, New Jersey, licensed in Pennsylvania (SP032591) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Lizkebe Gado Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Lizkebe Gado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19122
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- Medicare enrollment name: Ophelia Medical Group Fl PA
- 35 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lizkebe Gado's NPI number?
The NPI number for Lizkebe Gado is 1053207522. It was assigned to this individual provider in the NPPES registry on June 13, 2025.
Where is Lizkebe Gado located?
Lizkebe Gado practices at 362 Annabelle Ave, Penns Grove, NJ 08069. The listed phone number is (803) 728-7824.
What is Lizkebe Gado's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lizkebe Gado enrolled in Medicare?
Yes. Lizkebe Gado 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 Lizkebe Gado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lizkebe Gado reassigns Medicare benefits to Ophelia Medical Group Fl, P.A. (Philadelphia, PA). 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 Lizkebe Gado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lizkebe Gado was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lizkebe Gado, NP · NPI 1053207522
Primary Care physician in Penns Grove, New Jersey. Individual provider, active in the CMS NPPES registry since June 13, 2025.
## Identity
- **NPI:** 1053207522 (Entity type: Individual)
- **Enumerated:** June 13, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** SP032591 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 362 ANNABELLE AVE, Penns Grove, NJ 08069-2621
- **Phone:** (803) 728-7824
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ophelia Medical Group Fl, P.A. (NPI 1588244750, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 3, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1053207522) · Data from the CMS NPPES public registry.