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NELLY GAVALAKIS APN-C
NPI 1174577746
Nurse Practitioner - Pediatrics in Hackensack, NJ

Active since May 19, 2006PECOS Enrolled
85.38/100
CMS Quality Rating
155 POLIFLY RD STE 112, HACKENSACK, NJ 07601(201) 996-8840(201) 441-9949 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nelly Gavalakis Apn-c NPPES

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

NELLY GAVALAKIS APN-C (NPI 1174577746) is an individual pediatrics provider in Hackensack, New Jersey, licensed in New Jersey (20050002) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1174577746
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNELLY GAVALAKISCredential: APN-C
Location Address155 POLIFLY RD STE 112Hackensack, NJ 07601-1749
Mailing Address216 Rainbow TerBlack Mountain, NC 28711-8439 · (917) 757-7261
Phone(201) 996-8840
Fax(201) 441-9949
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1174577746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NJ · 20050002✔ Licensed in NC · 5021153
155 POLIFLY RD STE 112, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Location 1

Location 140 N Merrimon Ave Ste 117Asheville, NC 28804-1368 · Phone (828) 348-8232

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nelly Gavalakis Apn-c 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 Reassignments

2

Medicare enrollment records show Nelly Gavalakis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
37 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
37 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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.

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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

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 Nelly Gavalakis's NPI number?

The NPI number for Nelly Gavalakis is 1174577746. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Nelly Gavalakis located?

Nelly Gavalakis practices at 155 Polifly Rd Ste 112, Hackensack, NJ 07601. The listed phone number is (201) 996-8840.

What is Nelly Gavalakis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nelly Gavalakis enrolled in Medicare?

Yes. Nelly Gavalakis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nelly Gavalakis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelly Gavalakis reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Nelly Gavalakis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nelly Gavalakis accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health list Nelly Gavalakis 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 Nelly Gavalakis was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.