MRS. PHYLLIS MCKIERNAN RN, APN-C
NPI 1194939652
Nurse Practitioner - Adult Health in Hackensack, NJ

Q: What is Phyllis Mckiernan's NPI number?

The NPI number for Phyllis Mckiernan is 1194939652. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Phyllis Mckiernan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phyllis Mckiernan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 10, 2007PECOS Enrolled

20 PROSPECT AVE STE 400, HACKENSACK, NJ 07601(201) 996-5832 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Phyllis Mckiernan Rn, Apn-c NPPES

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

MRS. PHYLLIS MCKIERNAN RN, APN-C (NPI 1194939652) is an individual adult health provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00034600) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194939652

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. PHYLLIS MCKIERNANCredential: RN, APN-C

Location Address20 PROSPECT AVE STE 400Hackensack, NJ 07601-1941

Mailing Address14 Manning RdParamus, NJ 07652-1800 · (201) 251-6474

Phone(201) 996-5832

Sole ProprietorYes

Enumeration DateMay 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194939652 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 · 26NJ00034600

20 PROSPECT AVE STE 400, 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)

Mrs. Phyllis Mckiernan Rn, 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 Reassignment

Medicare enrollment records show Phyllis Mckiernan 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.

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 Phyllis Mckiernan's NPI number?

The NPI number for Phyllis Mckiernan is 1194939652. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Phyllis Mckiernan located?

Phyllis Mckiernan practices at 20 Prospect Ave Ste 400, Hackensack, NJ 07601. The listed phone number is (201) 996-5832.

What is Phyllis Mckiernan's specialty?

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

Is Phyllis Mckiernan enrolled in Medicare?

Yes. Phyllis Mckiernan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phyllis Mckiernan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Mckiernan 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 Phyllis Mckiernan'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 Phyllis Mckiernan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.