MRS. MONICA FERNICOLA NP-C
NPI 1336407188
Nurse Practitioner - Primary Care in Paramus, NJ

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
90 W RIDGEWOOD AVE, PARAMUS, NJ 07652(201) 652-1950 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Monica Fernicola Np-c NPPES

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

MRS. MONICA FERNICOLA NP-C (NPI 1336407188) is an individual primary care provider in Paramus, New Jersey, licensed in New Jersey (26NJ00374500) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336407188
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. MONICA FERNICOLACredential: NP-C
Location Address90 W RIDGEWOOD AVEParamus, NJ 07652-2270
Mailing Address1 Sears Dr Ste 306Paramus, NJ 07652-3510 · (201) 830-2287 · Fax (201) 830-2286
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 30, 2012
Last NPPES UpdateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
NPI 1336407188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NJ · 26NJ00374500
90 W RIDGEWOOD AVE, Paramus, NJ 07652

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

Mrs. Monica Fernicola Np-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 ID941459028
PECOS Enrollment IDI20121004000685
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 5

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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
1,515 services227 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,053 services156 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
189 services178 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
56 services54 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07652 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$12.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$59.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
90 W RIDGEWOOD AVE
PARAMUS, NJ 07652
Nurse Practitioner
90 W RIDGEWOOD AVE
PARAMUS, NJ 07652
Physical Therapist
90 W RIDGEWOOD AVE
PARAMUS, NJ 07652

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 Monica Fernicola's NPI number?

The NPI number for Monica Fernicola is 1336407188. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Monica Fernicola located?

Monica Fernicola practices at 90 W Ridgewood Ave, Paramus, NJ 07652. The listed phone number is (201) 652-1950.

What is Monica Fernicola's specialty?

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

Is Monica Fernicola enrolled in Medicare?

Yes. Monica Fernicola 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 Monica Fernicola affiliated with any hospitals?

According to CMS data, Monica Fernicola is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Monica Fernicola was last updated on October 16, 2023. 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.