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

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, maintains a secondary practice location in Asheville, and is a graduate of Other (2004).

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
Medical School CMSOtherGraduated 2004
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 Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nelly Gavalakis Apn-c 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 ID2264595479
PECOS Enrollment IDI20090114000732
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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nelly Gavalakis accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare 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 16 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.