MRS. BERNADETTE NNOLI NP
NPI 1104650381
Nurse Practitioner - Gerontology in Newark, NJ

Q: What is Bernadette Nnoli's NPI number?

The NPI number for Bernadette Nnoli is 1104650381. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Q: What is Bernadette Nnoli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Bernadette Nnoli was last updated on August 29, 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.

Active since August 29, 2024PECOS EnrolledAccepts Medicare Assignment

268 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102(973) 877-5543 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Bernadette Nnoli Np NPPES

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

MRS. BERNADETTE NNOLI NP (NPI 1104650381) is an individual gerontology provider in Newark, New Jersey, licensed in New Jersey (26NJ15121000) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104650381

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. BERNADETTE NNOLICredential: NP

Location Address268 DR MARTIN LUTHER KING JR BLVDNewark, NJ 07102-2011

Mailing Address1788 Union AveUnion, NJ 07083-5521

Phone(973) 877-5543

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 29, 2024

NPPES CertifiedAugust 29, 2024

✔ NPI 1104650381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ15121000

268 DR MARTIN LUTHER KING JR BLVD, Newark, NJ 07102

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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

Mrs. Bernadette Nnoli 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.

PECOS PAC ID8729511472

PECOS Enrollment IDI20241101002445

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 Bernadette Nnoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Np Services, LLC

48 mi

Nurse Practitioner

456 CHESTNUT ST STE 102
Lakewood, NJ 08701

Reassigned Medicare billing, New Jersey enrollment
101 clinicians in this Medicare group

NPI 1649658105 (732) 282-7200

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

79 services35 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

30 services25 patients

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 16

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

ALLEN JUDAH SRULOWITZ M.D.

Emergency Medicine