WILBER ESPINOSA APN
NPI 1215444591
Nurse Practitioner - Family in Clifton, NJ

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilber Espinosa Apn NPPES

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

WILBER ESPINOSA APN (NPI 1215444591) is an individual family provider in Clifton, New Jersey, licensed in New Jersey (26NJ00781300) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215444591
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILBER ESPINOSACredential: APN
Location Address1700 NJ-3Clifton, NJ 07013
Mailing Address66 Forest DrNorth Haledon, NJ 07508-2728 · (973) 800-0554
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 8, 2018
✔ NPI 1215444591 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 · 26NJ00781300
1700 NJ-3, Clifton, NJ 07013

Other Identifiers 1

Other26NJ00781300NJ · Apn License

Accepted 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

Wilber Espinosa Apn 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 ID4082974274
PECOS Enrollment IDI20260512003615
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

3

Medicare enrollment records show Wilber Espinosa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
Family
166 ALBANY TPKE STE 7
Canton, CT 06019
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut and Iowa enrollments
  • 613 clinicians in this Medicare group

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 07013 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 Wilber Espinosa's NPI number?

The NPI number for Wilber Espinosa is 1215444591. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Wilber Espinosa located?

Wilber Espinosa practices at 1700 Nj-3, Clifton, NJ 07013. The listed phone number is (862) 249-4901.

What is Wilber Espinosa's specialty?

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

Is Wilber Espinosa enrolled in Medicare?

Yes. Wilber Espinosa 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 Wilber Espinosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilber Espinosa reassigns Medicare benefits to 3 organizations: Grow Healthcare Group Of New Jersey PC (Hoboken, NJ), Collaborative Medicine LLC (Canton, CT) and Grow Healthcare Group PA (Miami, FL). 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 Wilber Espinosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilber Espinosa accept?

Health plans from Anthem Blue Cross and Blue Shield list Wilber Espinosa 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 Wilber Espinosa was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.