LLOYD BAILEY APN
NPI 1265190045
Nurse Practitioner - Acute Care in Newark, NJ

Active since November 30, 2021PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST, NEWARK, NJ 07103(973) 972-6000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lloyd Bailey Apn NPPES

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

LLOYD BAILEY APN (NPI 1265190045) is an individual acute care provider in Newark, New Jersey, licensed in New Jersey (26NJ01195500) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Rutgers New Jersey Medical School (2021).

NPPES Registry Identity

NPI1265190045
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameLLOYD BAILEYCredential: APN
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address1113 Fulton StRahway, NJ 07065-3920 · (732) 527-9522
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2021
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1265190045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ01195500
150 BERGEN ST, Newark, NJ 07103

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

Lloyd Bailey 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 ID8921452079
PECOS Enrollment IDI20230925000429
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

2

Medicare enrollment records show Lloyd Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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.

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.

Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103

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 Lloyd Bailey's NPI number?

The NPI number for Lloyd Bailey is 1265190045. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Lloyd Bailey located?

Lloyd Bailey practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-6000.

What is Lloyd Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lloyd Bailey enrolled in Medicare?

Yes. Lloyd Bailey 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 Lloyd Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lloyd Bailey reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). 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 Lloyd Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lloyd Bailey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Lloyd Bailey 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 Lloyd Bailey affiliated with any hospitals?

According to CMS data, Lloyd Bailey is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Lloyd Bailey was last updated on November 30, 2021. 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.