KEILEY CORNELL INDIVERO PA-C
NPI 1285060657
Physician Assistant in Jersey City, NJ

Active since September 17, 2013PECOS EnrolledAccepts Medicare Assignment
355 GRAND ST, JERSEY CITY, NJ 07302(315) 915-2000 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keiley Cornell Indivero Pa-c NPPES

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

KEILEY CORNELL INDIVERO PA-C (NPI 1285060657) is an individual physician assistant in Jersey City, New Jersey, licensed in New Jersey (1285060657) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1285060657
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEILEY CORNELL INDIVEROCredential: PA-C
Location Address355 GRAND STJersey City, NJ 07302-4321
Mailing Address355 Grand StJersey City, NJ 07302-4321 · (315) 915-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 17, 2013
Last NPPES UpdateMay 19, 2014
NPI 1285060657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NJ · 1285060657 Licensed in NY · 017000
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
355 GRAND ST, Jersey City, NJ 07302

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

Keiley Cornell Indivero Pa-c 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 ID6608004726
PECOS Enrollment IDI20140118000043
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

Specialist
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Anesthesiology
355 GRAND ST
JERSEY CITY, NJ 07302
Internal Medicine
355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Internal Medicine
355 GRAND ST
JERSEY CITY, NJ 07302
Social Worker
355 GRAND ST
JERSEY CITY, NJ 07302
Student in an Organized Health Care Education/Training Program
355 GRAND ST
JERSEY CITY, NJ 07302
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302

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 Keiley Indivero's NPI number?

The NPI number for Keiley Indivero is 1285060657. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Keiley Indivero located?

Keiley Indivero practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (315) 915-2000.

What is Keiley Indivero's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keiley Indivero enrolled in Medicare?

Yes. Keiley Indivero 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.

Is Keiley Indivero affiliated with any hospitals?

According to CMS data, Keiley Indivero is affiliated with Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Keiley Indivero was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.