ELLEN SMITH NP
NPI 1235746553
Nurse Practitioner - Adult Health in Newark, NJ

Active since September 30, 2020PECOS EnrolledAccepts Medicare Assignment
45.17/100
CMS Quality Rating
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102(866) 949-0108 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellen Smith Np NPPES

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

ELLEN SMITH NP (NPI 1235746553) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ01057900) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235746553
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELLEN SMITHCredential: NP
Location Address1 GATEWAY CTR STE 2600Newark, NJ 07102-5323
Mailing Address1265 Paterson Plank Rd Ste 2d-2eSecaucus, NJ 07094-3242 · (201) 556-1225
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 30, 2020
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1235746553 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 · 26NJ01057900
1 GATEWAY CTR STE 2600, Newark, NJ 07102

Secondary Practice Location 1

Location 1340 Airis Dr., Suite 203Newark, NJ 07114 · Phone (973) 596-1200

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

Ellen Smith Np 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 ID3072909696
PECOS Enrollment IDI20240926003613, I20241127001913
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 Ellen Smith reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
885 3RD AVE FL 29
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 36 clinicians in this Medicare group
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
Emergency Medicine
2 PARKWAY # 1B
Upper Saddle River, NJ 07458
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
General Practice
1816 W POINT PIKE
Lansdale, PA 19446
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
General Practice
1320 MAGAZINE ST STE 203
New Orleans, LA 70130
  • Reassigned Medicare billing, Louisiana enrollment
  • 24 clinicians in this Medicare group
General Practice
2500 WEST LOOP S STE 230
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 16 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 07102 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.

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.

45.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.22
Promoting Interoperability0
Improvement Activities40
Cost37.7

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.

Nurse Practitioner (Family)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Nurse Practitioner (Gerontology)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Family Medicine (Hospice and Palliative Medicine)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Nurse Practitioner (Primary Care)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Nurse Practitioner (Women's Health)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Home Health Aide
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Nurse Practitioner (Women's Health)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102
Nurse Practitioner (Family)
1 GATEWAY CTR STE 2600
NEWARK, NJ 07102

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 Ellen Smith's NPI number?

The NPI number for Ellen Smith is 1235746553. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Ellen Smith located?

Ellen Smith practices at 1 Gateway Ctr Ste 2600, Newark, NJ 07102. The listed phone number is (866) 949-0108.

What is Ellen Smith's specialty?

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

Is Ellen Smith enrolled in Medicare?

Yes. Ellen Smith 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 Ellen Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Smith reassigns Medicare benefits to 6 organizations: Mylaurel Medical Group Ny, PLLC (New York, NY), Drx Paramus, LLC (Paramus, NJ), Dispatch Health Medical PC (Upper Saddle River, NJ), Ready Responders Pennsylvania LLC (Lansdale, PA), Mylaurel Medical Group La, LLC (New Orleans, LA) 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 Ellen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Smith accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Ellen Smith 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 Ellen Smith was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.