MRS. VIRGINIE ELAINE PERNALA NP-C, MSN, CCRN
NPI 1417334772
Nurse Practitioner - Adult Health in Hackensack, NJ

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
30 PROSPECT AVE, 5PE, ROOM 5949, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Virginie Elaine Pernala Np-c, Msn, Ccrn NPPES

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

MRS. VIRGINIE ELAINE PERNALA NP-C, MSN, CCRN (NPI 1417334772) is an individual adult health provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00551600) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417334772
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. VIRGINIE ELAINE PERNALACredential: NP-C, MSN, CCRN
Location Address30 PROSPECT AVE, 5PE, ROOM 5949Hackensack, NJ 07601-1915
Mailing Address30 Prospect Ave, 5pe, Room 5949Hackensack, NJ 07601-1915
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 6, 2015
NPI 1417334772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00551600
30 PROSPECT AVE, Hackensack, NJ 07601

Other Names 1

Former Name (1)Virginie Elaine Tan

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. Virginie Elaine Pernala Np-c, Msn, Ccrn 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 ID7315254687
PECOS Enrollment IDI20260516000375
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Virginie Elaine Pernala's NPI number?

The NPI number for Virginie Elaine Pernala is 1417334772. It was assigned to this individual provider in the NPPES registry on May 6, 2015. The provider is also known as Virginie Elaine Tan.

Where is Virginie Elaine Pernala located?

Virginie Elaine Pernala practices at 30 Prospect Ave 5pe, Room 5949, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.

What is Virginie Elaine Pernala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Virginie Elaine Pernala enrolled in Medicare?

Yes. Virginie Elaine Pernala 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 Virginie Elaine Pernala was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.