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KELLY VANWYCK
NPI 1104334655
Nurse Practitioner - Family in Randolph, NJ

Active since January 18, 2018PECOS EnrolledAccepts Medicare Assignment
477 ROUTE 10 STE 205, RANDOLPH, NJ 07869(973) 560-9500 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Vanwyck NPPES

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

KELLY VANWYCK (NPI 1104334655) is an individual family provider in Randolph, New Jersey, licensed in New Jersey (26NJ00792600) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104334655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY VANWYCK
Location Address477 ROUTE 10 STE 205Randolph, NJ 07869-2144
Mailing Address700 Route 46 E Ste 450Fairfield, NJ 07004-1583 · (973) 559-3700
Phone(973) 560-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 18, 2018
✔ NPI 1104334655 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 · 26NJ00792600
477 ROUTE 10 STE 205, Randolph, NJ 07869
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Vanwyck 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 ID8921368879
PECOS Enrollment IDI20180214000934
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.

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.
49 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 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

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

PAIGE KYLIE SEAVEY PA-C
Physician Assistant (Medical)
477 ROUTE 10 STE 205
RANDOLPH, NJ 07869
Morris County (973) 560-9500

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 Kelly Vanwyck's NPI number?

The NPI number for Kelly Vanwyck is 1104334655. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Kelly Vanwyck located?

Kelly Vanwyck practices at 477 Route 10 Ste 205, Randolph, NJ 07869. The listed phone number is (973) 560-9500.

What is Kelly Vanwyck's specialty?

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

Is Kelly Vanwyck enrolled in Medicare?

Yes. Kelly Vanwyck 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.

Is Kelly Vanwyck affiliated with any hospitals?

According to CMS data, Kelly Vanwyck is affiliated with Morristown Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Kelly Vanwyck was last updated on January 18, 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.