MARIA VILLETTE GANANCIAL APN
NPI 1306299300
Nurse Practitioner - Primary Care in West Orange, NJ

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052(973) 731-9442(973) 731-2918 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Sep 13, 2016, Jul 14, 2016 (3 updates tracked since 2016).

About Maria Villette Ganancial Apn NPPES

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

MARIA VILLETTE GANANCIAL APN (NPI 1306299300) is an individual primary care provider in West Orange, New Jersey, licensed in New Jersey (26NJ00653300) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306299300
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARIA VILLETTE GANANCIALCredential: APN
Location Address375 MOUNT PLEASANT AVEWest Orange, NJ 07052-2750
Mailing Address375 Mount Pleasant AveWest Orange, NJ 07052-2750 · (973) 731-9442 · Fax (973) 731-2918
Fax(973) 731-2918
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 14, 2016
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1306299300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NJ · 26NJ00653300
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00653300 (NJ)
375 MOUNT PLEASANT AVE, West Orange, NJ 07052

Accepted 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

Maria Villette Ganancial 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 ID941583074
PECOS Enrollment IDI20170215000469
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
267 services85 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
153 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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.

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 20

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

Nurse Practitioner (Gerontology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Surgery
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Dietitian, Registered
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE, SUITE 202
WEST ORANGE, NJ 07052
Internal Medicine (Clinical Cardiac Electrophysiology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Nurse Practitioner (Pediatrics)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Physical Therapist
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

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 Maria Ganancial's NPI number?

The NPI number for Maria Ganancial is 1306299300. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Maria Ganancial located?

Maria Ganancial practices at 375 Mount Pleasant Ave, West Orange, NJ 07052. The listed phone number is (973) 731-9442.

What is Maria Ganancial's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Maria Ganancial enrolled in Medicare?

Yes. Maria Ganancial 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 Maria Ganancial accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Maria Ganancial 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 Maria Ganancial affiliated with any hospitals?

According to CMS data, Maria Ganancial is affiliated with Morristown Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Ganancial was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.