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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: October 18, 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
Phone(551) 996-5900
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
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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 (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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Taxeras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Cancer Care Associates LLC
38 mi
Clinical Medical Laboratory
180 WHITE RD STE 106
Little Silver, NJ 07739
  • Reassigned Medicare billing, New Jersey enrollment
  • 247 clinicians in this Medicare group
NPI 1770284820 (732) 889-8420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. NOA BIRAN M.D.
Internal Medicine (Medical Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-8704
GRACE VICTORIA PERRY RN MSN APN-C OCN
Nurse Practitioner
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-5900
SARVARINDER KAUR GILL
Internal Medicine (Medical Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-5855
ANNE MARIE FLAHERTY
Clinical Nurse Specialist (Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (201) 996-5863
TAYLOR GELOFF FNP
Nurse Practitioner
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-5855
JOANNA P MOHNEY AGPCNP-BC
Internal Medicine (Hematology & Oncology)
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-5863
REBECCA MARTIN APN
Nurse Practitioner (Gerontology)
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-3033
DR. MAHER ALBITAR
Pathology (Anatomic Pathology & Clinical Pathology)
92 2ND ST
HACKENSACK, NJ 07601
Bergen County (551) 996-5806

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.

Which organization bills Medicare for Kelly Taxeras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Taxeras reassigns Medicare benefits to Regional Cancer Care Associates LLC (Little Silver, NJ). The 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 Kelly Taxeras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Taxeras was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.