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TAMARA KHMELNITSKY FNP
NPI 1215796263
Nurse Practitioner - Family in Secaucus, NJ

Active since March 13, 2024PECOS Enrolled
1 HARMON PLZ STE 304, SECAUCUS, NJ 07094(763) 349-7900 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tamara Khmelnitsky Fnp NPPES

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

TAMARA KHMELNITSKY FNP (NPI 1215796263) is an individual family provider in Secaucus, New Jersey, licensed in New Jersey (26NJ14934700) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215796263
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMARA KHMELNITSKYCredential: FNP
Location Address1 HARMON PLZ STE 304Secaucus, NJ 07094-2800
Mailing Address1 Harmon Plz Ste 304Secaucus, NJ 07094-2800 · (763) 349-7900
Phone(763) 349-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1215796263 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 · 26NJ14934700
1 HARMON PLZ STE 304, Secaucus, NJ 07094
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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)

Tamara Khmelnitsky Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486092491
PECOS Enrollment IDI20260303002560
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 Tamara Khmelnitsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monogram Health Professional Services Of New Jersey LLC
13 mi
Nephrology
140 E RIDGEWOOD AVE STE 415
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 58 clinicians in this Medicare group
NPI 1578284246 (615) 673-4455

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 07094 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 Tamara Khmelnitsky's NPI number?

The NPI number for Tamara Khmelnitsky is 1215796263. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Tamara Khmelnitsky located?

Tamara Khmelnitsky practices at 1 Harmon Plz Ste 304, Secaucus, NJ 07094. The listed phone number is (763) 349-7900.

What is Tamara Khmelnitsky's specialty?

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

Is Tamara Khmelnitsky enrolled in Medicare?

Yes. Tamara Khmelnitsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tamara Khmelnitsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Khmelnitsky reassigns Medicare benefits to Monogram Health Professional Services Of New Jersey LLC (Paramus, 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 Tamara Khmelnitsky'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 Tamara Khmelnitsky was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.