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MAYRA CRESPO APN
NPI 1376965616
Nurse Practitioner - Family in Wayne, NJ

Active since January 06, 2014PECOS Enrolled

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2023, Apr 21, 2022 (2 updates tracked since 2022).

About Mayra Crespo Apn NPPES

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

MAYRA CRESPO APN (NPI 1376965616) is an individual family provider in Wayne, New Jersey, licensed in New Jersey (26NJ00478800) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376965616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAYRA CRESPOCredential: APN
Location Address1680 RTE 23Wayne, NJ 07470-7501
Mailing Address1680 Route 23 Ste 120Wayne, NJ 07470-7520 · (973) 305-1400
Phone(973) 305-1400
Sole ProprietorNo
Enumeration DateJanuary 6, 2014
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1376965616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00478800
1680 RTE 23, Wayne, NJ 07470
Open in Google Maps ↗

Other Names 1

Former Name (1)Mayra Chicaiza Apn

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Crespo Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mayra Crespo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care Of New Jersey PC
33 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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.

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 Mayra Crespo's NPI number?

The NPI number for Mayra Crespo is 1376965616. It was assigned to this individual provider in the NPPES registry on January 6, 2014. The provider is also known as Mayra Chicaiza Apn.

Where is Mayra Crespo located?

Mayra Crespo practices at 1680 Rte 23, Wayne, NJ 07470. The listed phone number is (973) 305-1400.

What is Mayra Crespo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mayra Crespo enrolled in Medicare?

Yes. Mayra Crespo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mayra Crespo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Crespo reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mayra Crespo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayra Crespo accept?

Health plans from Oscar Health list Mayra Crespo 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 Mayra Crespo was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.