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KATHERINE WASSERMAN FNP-C
NPI 1063192755
Nurse Practitioner - Family in Newark, NJ

Active since July 19, 2023PECOS Enrolled
ONE GATEWAY CENTER, SUITE 2600, NEWARK, NJ 07102(617) 505-1520(617) 928-8401 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Sep 16, 2025, Jun 20, 2024 and 2 more (5 updates tracked since 2023).

About Katherine Wasserman Fnp-c NPPES

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

KATHERINE WASSERMAN FNP-C (NPI 1063192755) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ14879500) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063192755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE WASSERMANCredential: FNP-C
Location AddressONE GATEWAY CENTER, SUITE 2600Newark, NJ 07102-5323
Mailing Address109 State Street, 5th FlBoston, MA 02109-2906 · (617) 505-1520 · Fax (617) 928-8401
Phone(617) 505-1520
Fax(617) 928-8401
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1063192755 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 · 26NJ14879500
ONE GATEWAY CENTER, Newark, NJ 07102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Wasserman Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446729834
PECOS Enrollment IDI20260514003441
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 Wasserman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Form Health Associates Ma, P.C.
196 mi
Endocrinology, Diabetes & Metabolism
109 STATE STREET, 5TH FL
Boston, MA 02109
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1386260594 (617) 505-1520

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 07102 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.

Other Providers at the Same Location NPPES 3

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

NEW JERSEY MEDICAL SPECIALISTS PC
Clinic/Center
ONE GATEWAY CENTER, SUITE 2600
NEWARK, NJ 07102
Essex County (800) 557-8950
CHRISTIANAH AWE
Home Health Aide
ONE GATEWAY CENTER, SUITE 2600
NEWARK, NJ 07102
Essex County (973) 418-9076
VICTOR AWE
Home Health Aide
ONE GATEWAY CENTER, SUITE 2600
NEWARK, NJ 07102
Essex County (973) 350-6020

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 Wasserman's NPI number?

The NPI number for Katherine Wasserman is 1063192755. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Katherine Wasserman located?

Katherine Wasserman practices at One Gateway Center Suite 2600, Newark, NJ 07102. The listed phone number is (617) 505-1520.

What is Katherine Wasserman's specialty?

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

Is Katherine Wasserman enrolled in Medicare?

Yes. Katherine Wasserman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Wasserman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Wasserman reassigns Medicare benefits to Form Health Associates Ma, P.C. (Boston, MA). 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 Wasserman'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 Katherine Wasserman was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.