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KELLY CANTISANO
NPI 1265833859
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Ewing, NJ

Active since September 15, 2014PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
830 BEAR TAVERN RD, MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NJ PC, EWING, NJ 08628(973) 800-2655 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Cantisano NPPES

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

KELLY CANTISANO (NPI 1265833859) is an individual psychiatric/mental health, adult provider in Ewing, New Jersey, licensed in New Jersey (26NJ00005800) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265833859
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameKELLY CANTISANO
Location Address830 BEAR TAVERN RD, MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NJ PCEwing, NJ 08628-1020
Mailing Address830 Bear Tavern Rd, Medop Behavioral Health Associates Of Nj PcEwing, NJ 08628-1020
Phone(973) 800-2655
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2014
✔ NPI 1265833859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License✔ Licensed in NJ · 26NJ00005800
830 BEAR TAVERN RD, Ewing, NJ 08628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Cantisano 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 ID6002038015
PECOS Enrollment IDI20141106001427
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08628 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM CHAN-BAERMAN LCSW
Social Worker (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
DIANA DIGIACOMO
Psychologist (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
DEBORAH ADAMS
Social Worker (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
DR. MELISSA MCCAUSLAND PSYD
Psychologist (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
RACHEL BIRMINGHAM
Social Worker (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
HEATHER MILLER
Social Worker (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
JOUHAINA RAZZOUK PSYD
Psychologist (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651
MAXINE BOCK
Social Worker (Clinical)
830 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (800) 370-3651

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 Kelly Cantisano's NPI number?

The NPI number for Kelly Cantisano is 1265833859. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Kelly Cantisano located?

Kelly Cantisano practices at 830 Bear Tavern Rd Medop Behavioral Health Associates Of Nj PC, Ewing, NJ 08628. The listed phone number is (973) 800-2655.

What is Kelly Cantisano's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Kelly Cantisano enrolled in Medicare?

Yes. Kelly Cantisano 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.

What insurance does Kelly Cantisano accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kelly Cantisano 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 Kelly Cantisano was last updated on September 15, 2014. 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.