MS. MERCY OTIENO CPNP
NPI 1235533639
Nurse Practitioner - Pediatrics in Newark, NJ
About Ms. Mercy Otieno Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MERCY OTIENO CPNP (NPI 1235533639) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (26NJ00521400) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Mercy Otieno Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mercy Otieno reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07104
- Reassigned Medicare billing, New Jersey enrollment
- 172 clinicians in this Medicare group
New Hyde Park, NY 11042
- Reassigned Medicare billing, New Jersey enrollment
- 417 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 07104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mercy Otieno's NPI number?
The NPI number for Mercy Otieno is 1235533639. It was assigned to this individual provider in the NPPES registry on October 14, 2014.
Where is Mercy Otieno located?
Mercy Otieno practices at 741 Broadway, Newark, NJ 07104. The listed phone number is (973) 483-1300.
What is Mercy Otieno's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mercy Otieno enrolled in Medicare?
Yes. Mercy Otieno is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mercy Otieno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mercy Otieno reassigns Medicare benefits to 2 organizations: Newark Community Health Centers, Inc. (Newark, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Mercy Otieno'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 Mercy Otieno was last updated on April 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Mercy Otieno, CPNP · NPI 1235533639
Pediatrics physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since October 14, 2014.
## Identity
- **NPI:** 1235533639 (Entity type: Individual)
- **Enumerated:** October 14, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 26NJ00521400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 741 BROADWAY, Newark, NJ 07104-4309
- **Phone:** (973) 483-1300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Newark Community Health Centers, Inc. (NPI 1740345693, Newark, NJ); Optum Medical Care Of New Jersey PC (NPI 1578665048, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1235533639) · Data from the CMS NPPES public registry.