DR. RAQUEL REYES DNP, WHNP, CNM
NPI 1083340202
Advanced Practice Midwife in Newark, NJ

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
140 BERGEN ST, ACC - LEVEL D- INFECTIOUS DISEASE PRACTICE, NEWARK, NJ 07103(973) 972-7194 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Raquel Reyes Dnp, Whnp, Cnm NPPES

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

DR. RAQUEL REYES DNP, WHNP, CNM (NPI 1083340202) is an individual advanced practice midwife in Newark, New Jersey, licensed in New Jersey (26NJ01334500) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1083340202
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameDR. RAQUEL REYESCredential: DNP, WHNP, CNM
Location Address140 BERGEN ST, ACC - LEVEL D- INFECTIOUS DISEASE PRACTICENewark, NJ 07103
Mailing Address140 Bergen St, Acc - Level D- Infectious Disease PracticeNewark, NJ 07103
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 29, 2022
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1083340202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NJ · 26NJ01334500
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 26NJ01334500 (NJ)
140 BERGEN ST, Newark, NJ 07103

Secondary Practice Location 1

Location 1201 Lyons AveNewark, NJ 07112-2027 · Phone (973) 926-7000

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

Dr. Raquel Reyes Dnp, Whnp, Cnm 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 ID6507234580
PECOS Enrollment IDI20221122003547
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 Reyes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
140 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 173 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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.

Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Internal Medicine (Infectious Disease)
140 BERGEN ST
NEWARK, NJ 07103
Obstetrics & Gynecology (Maternal & Fetal Medicine)
140 BERGEN ST, ACC LEVEL C
NEWARK, NJ 07103
Internal Medicine
140 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Audiologist
140 BERGEN ST, LEVEL E ROOM 1700
NEWARK, NJ 07103
Internal Medicine (Clinical Cardiac Electrophysiology)
140 BERGEN ST
NEWARK, NJ 07103
Obstetrics & Gynecology
140 BERGEN ST, ACC LEVEL C
NEWARK, NJ 07103

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 Reyes's NPI number?

The NPI number for Raquel Reyes is 1083340202. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Raquel Reyes located?

Raquel Reyes practices at 140 Bergen St Acc - Level D- Infectious Disease Practice, Newark, NJ 07103. The listed phone number is (973) 972-7194.

What is Raquel Reyes's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Raquel Reyes enrolled in Medicare?

Yes. Raquel Reyes 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 Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Reyes reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and Barnabas Health Medical Group PC (Elizabeth, 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 Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raquel Reyes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Raquel Reyes 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 Reyes affiliated with any hospitals?

According to CMS data, Raquel Reyes is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Raquel Reyes was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.