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KARA RAFAEL
NPI 1457070716
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ

Active since August 22, 2022PECOS Enrolled
1691 LAKEWOOD RD, TOMS RIVER, NJ 08755(732) 914-3875 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kara Rafael NPPES

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

KARA RAFAEL (NPI 1457070716) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ01358800) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457070716
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKARA RAFAEL
Location Address1691 LAKEWOOD RDToms River, NJ 08755-1245
Mailing Address3 Crestview CtFarmingdale, NJ 07727-3847 · (732) 640-3303
Phone(732) 914-3875
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1457070716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01358800
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 26NR19598400 (NJ)
1691 LAKEWOOD RD, Toms River, NJ 08755
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kara Rafael 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 Reassignments

3

Medicare enrollment records show Kara Rafael reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Modern Psychiatry Nj PC
1.6 mi
Neurology
40 BEY LEA RD STE C101
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1093419475 (732) 831-6094
Lakewood Resource And Referral Center, Inc.
2.5 mi
Federally Qualified Health Center (FQHC)
485 LOCUST ST
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
NPI 1518437474 (732) 364-2144
Mental Health Specialty Group Nj, PC
50 mi
Addiction Medicine
830 MORRIS TPKE
Short Hills, NJ 07078
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
NPI 1548928450 (323) 205-7088

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 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Kara Rafael's NPI number?

The NPI number for Kara Rafael is 1457070716. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Kara Rafael located?

Kara Rafael practices at 1691 Lakewood Rd, Toms River, NJ 08755. The listed phone number is (732) 914-3875.

What is Kara Rafael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kara Rafael enrolled in Medicare?

Yes. Kara Rafael is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kara Rafael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kara Rafael reassigns Medicare benefits to 3 organizations: Modern Psychiatry Nj PC (Toms River, NJ), Lakewood Resource And Referral Center, Inc. (Lakewood, NJ) and Mental Health Specialty Group Nj, PC (Short Hills, NJ). Each 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 Kara Rafael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kara Rafael was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.