KELLY TAXERAS DNP
NPI 1174291058
Nurse Practitioner - Adult Health in Hackensack, NJ

Active since September 03, 2021PECOS Enrolled
92 2ND ST, HACKENSACK, NJ 07601(551) 996-5900 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Taxeras Dnp NPPES

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

KELLY TAXERAS DNP (NPI 1174291058) is an individual adult health provider in Hackensack, New Jersey, licensed in New Jersey (26NJ01194000) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174291058
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLY TAXERASCredential: DNP
Location Address92 2ND STHackensack, NJ 07601-2191
Mailing Address31 Brandywine PlOakland, NJ 07436-2313 · (201) 669-0792
Sole ProprietorNo
Enumeration DateSeptember 3, 2021
Last NPPES UpdateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
NPI 1174291058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ01194000
92 2ND ST, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Taxeras Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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 20

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

Internal Medicine (Medical Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Nurse Practitioner
92 2ND ST
HACKENSACK, NJ 07601
Internal Medicine (Medical Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Clinical Nurse Specialist (Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Nurse Practitioner
92 2ND ST
HACKENSACK, NJ 07601
Internal Medicine (Hematology & Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Nurse Practitioner (Gerontology)
92 2ND ST
HACKENSACK, NJ 07601
Pathology (Anatomic Pathology & Clinical Pathology)
92 2ND ST
HACKENSACK, NJ 07601

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 Taxeras's NPI number?

The NPI number for Kelly Taxeras is 1174291058. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Kelly Taxeras located?

Kelly Taxeras practices at 92 2nd St, Hackensack, NJ 07601. The listed phone number is (551) 996-5900.

What is Kelly Taxeras's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelly Taxeras enrolled in Medicare?

Yes. Kelly Taxeras is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Taxeras was last updated on February 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.