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PRIMEROSE GERMAIN FNP-BC
NPI 1164911384
Nurse Practitioner - Family in East Orange, NJ

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
134 EVERGREEN PL STE 100, EAST ORANGE, NJ 07018(973) 667-2221(877) 480-5458 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primerose Germain Fnp-bc NPPES

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

PRIMEROSE GERMAIN FNP-BC (NPI 1164911384) is an individual family provider in East Orange, New Jersey, licensed in New Jersey (26NJ00721500) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164911384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRIMEROSE GERMAINCredential: FNP-BC
Location Address134 EVERGREEN PL STE 100East Orange, NJ 07018-2019
Mailing Address26 Grandview AveNorth Caldwell, NJ 07006-4705 · (908) 398-1170
Phone(973) 667-2221
Fax(877) 480-5458
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 3, 2018
✔ NPI 1164911384 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 · 26NJ00721500
134 EVERGREEN PL STE 100, East Orange, NJ 07018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Primerose Germain Fnp-bc 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 ID2961744271
PECOS Enrollment IDI20190506002117
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 Primerose Germain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Heart Center Of The Oranges
0.2 mi
Cardiovascular Disease
60 EVERGREEN PLACE, SUITE 400
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
NPI 1477532588 (973) 395-1550
Newark Community Health Centers, Inc.
3.5 mi
Federally Qualified Health Center (FQHC)
741 BROADWAY
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1740345693 (973) 483-1300

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 6

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 high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
196 services47 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.
195 services62 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.
106 services31 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
75 services16 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
56 services50 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.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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.

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 Primerose Germain's NPI number?

The NPI number for Primerose Germain is 1164911384. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Primerose Germain located?

Primerose Germain practices at 134 Evergreen Pl Ste 100, East Orange, NJ 07018. The listed phone number is (973) 667-2221.

What is Primerose Germain's specialty?

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

Is Primerose Germain enrolled in Medicare?

Yes. Primerose Germain 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 Primerose Germain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Primerose Germain reassigns Medicare benefits to 2 organizations: The Heart Center Of The Oranges (East Orange, NJ) and Newark Community Health Centers, Inc. (Newark, 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 Primerose Germain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Primerose Germain accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Primerose Germain 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.

When was this NPI record last updated?

The NPPES record for Primerose Germain was last updated on May 3, 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.