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MS. KELLY NUSSBAUM APRN
NPI 1215229596
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Englewood, NJ

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
163 ENGLE ST STE 4A, ENGLEWOOD, NJ 07631(201) 408-4487(800) 352-3015 Get Directions Write a Review

NPPES record last updated: May 5, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kelly Nussbaum Aprn NPPES

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

MS. KELLY NUSSBAUM APRN (NPI 1215229596) is an individual psychiatric/mental health, adult provider in Englewood, New Jersey, licensed in New Jersey (26NC07471600) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1215229596
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameMS. KELLY NUSSBAUMCredential: APRN
Location Address163 ENGLE ST STE 4AEnglewood, NJ 07631-2530
Mailing Address9 Ricker RdKinnelon, NJ 07405 · (973) 838-8869
Phone(201) 408-4487
Fax(800) 352-3015
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 5, 2011
✔ NPI 1215229596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License✔ Licensed in NJ · 26NC07471600
163 ENGLE ST STE 4A, Englewood, NJ 07631
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Kelly Nussbaum Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Ms. Kelly Nussbaum Aprn 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 ID1052569639
PECOS Enrollment IDI20120925000036
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

6

Medicare enrollment records show Kelly Nussbaum reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knd Development 59, LLC
9.2 mi
Hospitalist
350 BOULEVARD FL 5
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1538498290 (973) 636-7200
Garden State Healthcare Associates, LLC
18 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Nj Memory And Behavioral Care
25 mi
Geriatric Psychiatry
14 RIDGEDALE AVE STE 103
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 114 clinicians in this Medicare group
NPI 1538499181 (973) 295-6335
Prime Healthcare Services - Saint Clare's LLC
26 mi
General Acute Care Hospital
25 POCONO RD
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
NPI 1497134274 (973) 625-6000
Internal Medicine Of Morris County LLC
33 mi
Internal Medicine
195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1568570489 (973) 366-6060
Center For Family Guidance, PC
86 mi
Geriatric Psychiatry
765 EAST ROUTE 70, BUILDING A
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 219 clinicians in this Medicare group
NPI 1508803388 (856) 983-3900

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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 Kelly Nussbaum's NPI number?

The NPI number for Kelly Nussbaum is 1215229596. It was assigned to this individual provider in the NPPES registry on May 5, 2011. The provider is also known as Ms. Kelly Nussbaum Rn.

Where is Kelly Nussbaum located?

Kelly Nussbaum practices at 163 Engle St Ste 4A, Englewood, NJ 07631. The listed phone number is (201) 408-4487.

What is Kelly Nussbaum's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Kelly Nussbaum enrolled in Medicare?

Yes. Kelly Nussbaum 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 organizations bill Medicare for Kelly Nussbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Nussbaum reassigns Medicare benefits to 6 organizations: Knd Development 59, LLC (Passaic, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), Nj Memory And Behavioral Care (Cedar Knolls, NJ), Prime Healthcare Services - Saint Clare's LLC (Denville, NJ), Internal Medicine Of Morris County LLC (Mine Hill, NJ) and 1 more organization, listed in the Medicare section above. 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 Kelly Nussbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Nussbaum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kelly Nussbaum 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.

Is Kelly Nussbaum affiliated with any hospitals?

According to CMS data, Kelly Nussbaum is affiliated with Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Nussbaum was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.