MR. ELIZALDE LEGARDA VILLARUZ APN
NPI 1124651203
Nurse Practitioner - Acute Care in Newton, NJ

Active since February 18, 2020PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
1 SLATE HILL RD, NEWTON, NJ 07860(973) 383-8865 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Elizalde Legarda Villaruz Apn NPPES

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

MR. ELIZALDE LEGARDA VILLARUZ APN (NPI 1124651203) is an individual acute care provider in Newton, New Jersey, licensed in New Jersey (2NJ00970500) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124651203
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. ELIZALDE LEGARDA VILLARUZCredential: APN
Location Address1 SLATE HILL RDNewton, NJ 07860-1113
Mailing Address1 Slate Hill RdNewton, NJ 07860-1113 · (973) 383-8865
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 18, 2020
NPI 1124651203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NJ · 2NJ00970500
1 SLATE HILL RD, Newton, NJ 07860

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

Mr. Elizalde Legarda Villaruz Apn 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 ID4789005711
PECOS Enrollment IDI20200529002732
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
844 services455 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
393 services180 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.
74 services31 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
34 services33 patients
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.
26 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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.

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.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

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 Elizalde Villaruz's NPI number?

The NPI number for Elizalde Villaruz is 1124651203. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Elizalde Villaruz located?

Elizalde Villaruz practices at 1 Slate Hill Rd, Newton, NJ 07860. The listed phone number is (973) 383-8865.

What is Elizalde Villaruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Elizalde Villaruz enrolled in Medicare?

Yes. Elizalde Villaruz 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 Elizalde Villaruz affiliated with any hospitals?

According to CMS data, Elizalde Villaruz is affiliated with Morristown Medical Center, Newton Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Elizalde Villaruz was last updated on February 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.