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KRISTAL M CANNICI FNP-BC
NPI 1174490122
Nurse Practitioner - Family in Dover, NJ

Active since October 22, 2025PECOS EnrolledAccepts Medicare Assignment
375 E MCFARLAN ST STE 2, DOVER, NJ 07801(973) 366-5859(973) 366-0026 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristal M Cannici Fnp-bc NPPES

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

KRISTAL M CANNICI FNP-BC (NPI 1174490122) is an individual family provider in Dover, New Jersey, licensed in New Jersey (26NJ15396200) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paterson, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174490122
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTAL M CANNICICredential: FNP-BC
Location Address375 E MCFARLAN ST STE 2Dover, NJ 07801-3628
Mailing AddressPo Box 95000, Lb#7550Philadelphia, PA 19195-7550 · (844) 362-1735
Phone(973) 366-5859
Fax(973) 366-0026
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 22, 2025
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1174490122 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 · 26NJ15396200
375 E MCFARLAN ST STE 2, Dover, NJ 07801
Open in Google Maps ↗

Secondary Practice Location 1

Location 1703 Main StPaterson, NJ 07503-2621 · Phone (973) 754-2000

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

Kristal M Cannici 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 ID8224508551
PECOS Enrollment IDI20260528001926
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 Kristal Cannici reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Partners, LLC
3.8 mi
Internal Medicine
16 POCONO RD, SUITE 313
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 103 clinicians in this Medicare group
NPI 1710267562 (973) 625-0112

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 07801 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 Kristal Cannici's NPI number?

The NPI number for Kristal Cannici is 1174490122. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Kristal Cannici located?

Kristal Cannici practices at 375 E Mcfarlan St Ste 2, Dover, NJ 07801. The listed phone number is (973) 366-5859.

What is Kristal Cannici's specialty?

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

Is Kristal Cannici enrolled in Medicare?

Yes. Kristal Cannici 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 organization bills Medicare for Kristal Cannici's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Cannici reassigns Medicare benefits to Primary Care Partners, LLC (Denville, 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 Kristal Cannici'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 Kristal Cannici was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.