JUNIOR ESPINAL
NPI 1356929863
Nurse Practitioner in Springfield, NJ

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
55 MORRIS AVE, SPRINGFIELD, NJ 07081(973) 759-1221 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2022, Mar 29, 2021 (2 updates tracked since 2021).

About Junior Espinal NPPES

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

JUNIOR ESPINAL (NPI 1356929863) is an individual nurse practitioner in Springfield, New Jersey, licensed in New Jersey (F12200463) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356929863
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUNIOR ESPINAL
Location Address55 MORRIS AVESpringfield, NJ 07081-1426
Mailing Address195 Cortlandt StBelleville, NJ 07109-3128 · (973) 759-1221
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2021
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
NPI 1356929863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NJ · F12200463
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

55 MORRIS AVE, Springfield, NJ 07081

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

Junior Espinal 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 ID9032528633
PECOS Enrollment IDI20210512000640
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 4

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 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.
152 services91 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.
64 services61 patients
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.
41 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07081 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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 13

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

Internal Medicine
55 MORRIS AVE, SUITE 300
SPRINGFIELD, NJ 07081
Internal Medicine
55 MORRIS AVE, SUITE 300
SPRINGFIELD, NJ 07081
Internal Medicine
55 MORRIS AVE, SUITE 216
SPRINGFIELD, NJ 07081
Obstetrics & Gynecology
55 MORRIS AVE, SUITE 204
SPRINGFIELD, NJ 07081
Psychologist
55 MORRIS AVE, SUITE 108
SPRINGFIELD, NJ 07081
Internal Medicine
55 MORRIS AVE, SUITE 216
SPRINGFIELD, NJ 07081
Dermatology (Clinical & Laboratory Dermatological Immunology)
55 MORRIS AVE
SPRINGFIELD, NJ 07081
Anesthesiology
55 MORRIS AVE, SUITE 204
SPRINGFIELD, NJ 07081

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 Junior Espinal's NPI number?

The NPI number for Junior Espinal is 1356929863. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Junior Espinal located?

Junior Espinal practices at 55 Morris Ave, Springfield, NJ 07081. The listed phone number is (973) 759-1221.

What is Junior Espinal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Junior Espinal enrolled in Medicare?

Yes. Junior Espinal 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.

When was this NPI record last updated?

The NPPES record for Junior Espinal was last updated on November 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.